National Action Plan for Health Security (NAPHS) 2018-2022

1. To prevent and reduce the likelihood of outbreaks and all public health hazards and events defined by IHR (2005).

2. To promptly detect threats (due to all hazards) to save lives and ensure proper control measures.

3. To establish a functional system and mechanism for effective multi-sectoral national and international response to all public health events.

4. To establish and maintain the core capacities at designated points of entry for routine and timely detection and prompt effective response of any potential hazards.

5. To develop and sustain optimum capacity to prevent, detect and manage chemical events and radiation emergencies.

6. To strengthen linking human and animal health as “One Health Approach”

7. To function actions of legislations and formalized procedures Guiding Principles and Core Values for development, implementation of NPAHS (1) Country ownership and leadership: As per strong initiation and commitments by Minister for MoHS, Myanmar team will provide political and technical oversight for all phases of the NAPHS (planning, implementation and, Monitoring, Supervision and Evaluation), including committing domestic resources to financing the NAPHS. In addition to these, NAPHS is formulated from findings and recommendations of joint External Evaluation and prioritized activities 14 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) based on in-country issues, available resources. Therefore, under close guidance of Minister, National Cross Government Steering Committee will take overseeing with the supports by Technical Strategy Group for Public Health Emergency and Preparedness in technical and programmatic theme. (2) Equity, Gender mainstreaming and Human Rights: As per WHO’s standards and recommendation in implementation of IHR (2005) for Member State and international standards on human rights, will be taken as principles in each and every steps and process of implementation of this plan. The plan will address all population groups, regardless of their location, ethnicity, gender, age, social, economic, cultural, and political status. (3) Community Engagement: The community is a crucial unit in addressing health security for themselves and the persons around them. Individuals in households with adequate knowledge and skills about prevention of illnesses are able to take timely corrective measures and maintain a healthy lifestyle. Therefore, empowering individuals and households by reaching them through various social groupings can improve people’s lifestyles which in turn can improve the individuals’ overall health status. Community engagement will be through a participatory approach in development and implementation of culturally acceptable and scientifically sound risk communication strategies. Sustainable actions regarding Health Security for community will be always in active among public as a demand resulting by community engagement. (4) Partnership, inter-sectoral and multi-disciplinary collaboration: The partnership principle will be facilitated through inter-sectoral collaboration at community, levels on the one hand, and involvement of the wide spectrum of all relevant stakeholders at national level. This theme will the main driving forces in successful and effective operation of NAPHS as the plan is multi-sectoral body for health security of country. This entails partnership with other government departments, sectors, development partners, and academia. (5) Efficiency: The implementation of this NAPHS will foster rationalization of inputs to ensure maximum outputs and outcomes and value for money (VfM) by adapting with different policies and regulations by country and funders. (6) One Health Approach: Humans and animals share the same eco-system and the opportunities for spill-over of diseases are increasing with modern trends in globalization, rapid population growth, climate change, economic development, mass urbanization, and increasing demand for animal sourced foods. One Health is an approach that addresses public health events such as high impact infectious diseases arising at the intersection of human, animal (domestic and wildlife), and environmental interface. This NAPHS is under umbrella on 15 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) the one health approach and will ensure that all phases taking into account the one health approach in line with National One health Strategic Plan. (7) Alignment and ensuring synergies with Myanmar National Health Plan and its’ UHC: NAPHS’s efforts to build and sustain the IHR core capacities in the Myanmar will be based integrated approaches rather than parallel to existing or ongoing ones for sustainable and resilient health systems that can cope affects from and do actions with outbreaks and other health emergencies. The implementation this plan will be done in synergy with the implementation of existing activities and strategies to Myanmar National Health Plan. So, NAPHS 5 years plan and implementation is also aligned with exiting national plans/strategies of public health diseases (8) Evidence led and taking into consideration innovations: The implementation of this NAPHS will take into account emerging trends, risks and health innovations, as well as, inter country, regional, sub-regional and cross-border cooperation to reinforce timely information sharing and coordinated interventions. These regular information and updates among stakeholder in country, region will valuable engine for further and better steps to be taken effective operation of country NAPHS. SUMMARY OF OUTPUTS USED IN THE DEVELOPMENT OF THE NATIONAL ACTION PLAN During the preparation period, Central Epidemiological Unit (CEU), MoHS, organize to conduct self-assessment of existing capacity how much fulfill IHR core capacity and Health Security for each area by relevant ministries through leading by technical working group with technical assistance from WHO. Technical Strategic Group for Public Health Emergency & Preparedness, under National Cross Government Steering Committee, is more cooperation in practices for actions while frequent contacts among the stakeholders established. JEE assessment, scores for each indicator in each area is key basic facts for prioritizing new activities based on gaps, weakness and needs, and relevant existing ongoing activities that are included in National Actions Plan for Health Security. Team Members from responsible Departments, Stakeholders and development partners have formulated the objectives of each technical area with prioritized summary activity for which prioritized detailed activities are put in in the plan. JEE indicator, scores and recommendation are also applied for formulating detailed activities in planning matrix. By realizing detailed activities will result objectives of each technical area because the detailed activities are resulting of prioritization from multi-sectoral group works through doing exercise for prioritization, weakness, gaps, availability of supportive partners, funding. During group exercise and additional working after development workshop, prioritization of activities and actions came from common agreement of reasonable and suitable inputs 16 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) by each person from different designation and technical areas, policies and administration. Estimation of required resources of human, technical, level of actions, time frame, quantity of activity actual needed, process and methodology of activity are led and done by technical experts from the most responsible department for estimation of costing and quantification of activities by each year. This process of calculating resources included mapping of supports or collaborative partners and budget availability in consideration of each time frame. Some of activities are included in different technical areas describing same objectives, persons, and some activities do same people and same place at different objectives. Synchronization of those activities among different areas are done as much as possible so that resources of budget, person and time have to be save and effectiveness, efficacy of NAPHS would be increased. It is the best outputs among multi-sectoral team members who are doing development of NAPHS how to do good consultation and consensus building process for prioritized agreement among different people. Best scenarios of doing this exercise among members is multi-sectoral approach due to working together starting from advocacy to development of NAPHS. The activities prioritized in NAPHS are resulted additionally not only to fulfill core capacities of IHR but also linking with existing strategies (National Health Plan) and ongoing activities by different stakeholders and ministries. These will make NAPHS comprehensive and best performing with more effective and efficient outcomes. Lead department, associated ministries and development partners will operate the activities of NAPHS by further developing operation work plan for each area. This will be integrated with going national activities not only in actions but also for national budget and financing accordingly. Budget availability, confirmation and additional availability will be increased at the same time with finalization of NAPHS because mapping of development partners and budget are already included since during inception and development of phase of NAPHS. Monitoring and reporting will be conducted by implementing the new activities for monitoring, super vision and evaluation and its’ mechanism that are topped up existing M & E practices, system and additional requirements activities for IHR M & E frame work. PRIORITY ELEMENTS OF THE NATIONAL ACTION PLAN WITH COSTING Regarding core capacity to IHR by Myanmar, technical area of Antimicrobial Resistance, biosafety and security, preparedness and some actions of emergency responses operation, Medical Counter measures, risk communication, and chemical events, radiation emergencies have low capacity. Most priorities elements falls in these technical areas above while approval of law and legislation, development, finalization of essential guidelines, training modules and capacity building trainings in other technical areas, are reflecting to fulfill the capacity competence of IHR are set as priority in NAPHS and its’ important for operations. Some of development process of national plans, mechanisms, system for detection, surveillance and reporting are ongoing and in progress that are linking with implementation of NAPHS. In addition to this, activities integrated and linked with each sector strategic plan under technical area also priority element for implementation by each department as by essential cooperative efforts by multi-sectoral stakeholders. At the same time, new developments and legal framework in NAPHS are priority and required for early implementation in order 17 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) to be readiness for further consecutive and related activities implementation by time frame in NAPHS, such as, development SOP have to be under first 6 month of a year, trainings on SOP will be in during next consecutive 6 month in same year. NAPHS was developed in line with priority scores based on JEE results related IHR and country context and needs as first criteria, then taking into account funding and ongoing partners availability, and then, other activities with gaps of funding by ongoing partner are proposed to national financing as per regular budgeting 2018-19 fiscal year. Risk on inadequate human resources that multiply into tight schedule for existing manpower would create insecure and gaps for some priority activities, are also marked as priority for responsible leaders. Timely Recruitment, timely integration of national budgeting, regular mapping and advocacy to resources will be under responsibilities of lead departments for related areas. Regular updating practices during coordination and evaluation meeting or time to time updating will be one of the best ways reducing these risks. During the coordination and update mechanism such as regular or ad- hoc meetings, resources mobilization for priority elements of NAPHS would be good one as alternatives. The following are describing the elements of NAPHS and costing for 5 years. Figure 3. Budget allocation by Technical Strategic Category of the NAPHS Strategic Category Groups Respond 3,918,832,880 Other IHR Hazard 44,486,198,784 Detect 60,208,872,015 Prevent 138,684,994, - 50,000,000,000 100,000,000,000 150,000,000,000 (MMK) 18 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Figure 4. Budget allocation by Technical Areas of the NAPHS (MMK) Figure 5. Distribution of Cost by Year for Category- NAPHS (MMK) 19 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Table 2: Total Cost and Cost for each Strategic Category by Year (in MMK) Category\ 2018 2019 2020 2021 2022 TOTAL (MMK) Year Prevent 6,079,325,640 35,258,512,122 60,411,368,116 26,689,226,305 10,246,561,940 138,684,994,122 Detect 11,801,210,883 13,662,333,483 11,792,505,883 11,529,670,883 11,423,150,883 60,208,872,015 Grand Other IHR 18,875,000 1,315,441,620 1,080,101,220 755,809,020 748,606,020 3,918,832,880 Respond Total Hazard 2,135,904,040 16,234,610,848 10,431,379,632 7,621,234,632 8,063,069,632 44,486,198,784 20,035,315,563 66,470,898,073 83,715,354,851 46,595,940,840 30,481,388,475 247,298,897,801 Figure 6: Distribution of Cost by Year for Category- NAPHS (USD) 100,000,000.00 80,000,000.00 60,000,000.00 40,000,000.00 20,000,000.00 - 2018 2019 2020 2021 2022 TOTAL (USD) Prevent Detect Respond Other IHR Hazard Table 3: Total Cost and Cost for each Strategic Category by Year (in USD) Strategic Category\ 2018 2019 2020 2021 2022 TOTAL (USD) Year Prevent 3,897,003.62 22,601,610.33 38,725,235.97 17,108,478.40 6,568,308.94 88,900,637 Detect 7,564,878.77 8,757,906.08 7,559,298.64 7,390,814.67 7,322,532.62 38,595,431 Respond 12,099.36 843,231.81 692,372.58 484,492.96 479,875.65 2,512,072 Other IHR Hazard 1,369,169.26 10,406,801.83 6,686,781.82 4,885,406.82 5,168,634.38 28,516,794 Grand Total 12,843,151 42,609,550 53,663,689 29,869,193 19,539,352 158,524,934 20 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) IMPLEMENTATION OF ACTION PLAN WITH TIMEFRAME Implementation of NAPHS will be under guiding principles and core values described in above and one health approach of cooperative mechanism and practices will be main theme to ensure effectiveness to reach objectives and outcomes by monthly, bi-annually, annually monitoring and evaluation. Implementation of the planned activities will be delivered at each national, state and region, district and township level according to priority and relevancy that is agreed and planned during development phase. Leading roles and ownership for each activity have been already identified since development and described in NAPHS. National Cross Government Committee and Public Health Emergency and Preparedness Technical Strategic Group always encourage regular monitoring. The stakeholders with leading role will be responsible for managing and working together with the relevant officials at National, sub-national, district and township level for efficient operation of activities in time. Cross Government Committee will monitor regular coordination at each level for implementation by using mechanism such as meetings and systems developed, while leading ministry organizing the implementation of activities at each level. Operational work plan by sequence of activities with time frame will be outlined by lead ministry for each area to ensure fulfill gaps for immediate and long term orders. Operational work plan will be shared among multi-sectoral partners as supportive purpose if it is needed. Quantitative achievements from inputs of activities and verifiable objectives will be used for evaluation of each activity and its’ outcome by realization of NAPHS accordingly and these evaluation are in line with indicators of IHR M & E frame work. Assessment of intended impact from operating of NAPHS will be after 3 year and 5 year life of NAPHS through evaluation by JEE and internal M & E evaluation system, how much Country’s core capacity increase in line with IHR and health security of Myanmar. Operation of regular evaluation and coordination meeting, advocacy meeting and awareness raising through distribution and dissemination of information, education, communication material and channels while multi-sectoral ministries, development partners and stakeholders are implementing the activities of NAPHS, that will ensure promoting awareness among stakeholders and community describing gaps, budget, weakness, constraints and challenges for resources mapping and its mobilization. 21 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) References:

1. Myanmar Census Report 2014, Ministry of Immigration and Population, Myanmar, retrieved from www.themimu.info

2. World Bank Report retrieved from www.worldbank.org/en/country/Myanmar on October 31, 2018.

3. Reports of completed and finalized NAPHS, 2018. Department of Public Health, Ministry of Health and Sports, Myanmar.

4. Joint External Evaluation Report, Myanmar, 2017. World Health Organization. Available on https://www.who.int/ihr/publications

5. Presentations and Proceedings from workshops conducted in May 2017 and February 2018, Department of Public Health, Ministry of Health and Sports, Myanmar.

6. International Health Regulations (2005). 2008. World Health Organization. Available on https://www.who.int/ihr/

7. Documentation of NAPHS development Workshop conducted in February 2018 and October 2018.

8. Myanmar National Health Plan (2017-2021), 2017. Ministry of Health and Sports. Available on www.mohs.gov.mm.

9. Multi Year Plan, Expanded Program Immunization (2017-2021), Department of Public Health, Ministry of Health and Sports

10. NAPHS Narrative Report, Ministry of Health. State of Eritrea. 2017. Available on https://extranet.who.int

11. Report of WHO Health Sector Review 2014. World Health organization. 22 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) ANNEXES

ANNEX I: Situation Analysis, Summary of Country Assessment and Plans relevant to IHR LIST OF KEY RECOMMENDATION / PRIORITY ACTIONS FOR EACH TECHNICAL AREA PREVENT 1. National Legislation, Policy and Financing o Myanmar should ensure that in the revised laws and regulations both from human health and animal health that the country is planning to present to the parliament, have legislations and regulation that support strengthening the IHR capacities implementation in the country. o Myanmar needs to continue the best practice of having cross border level MoU between Thailand and Myanmar. The practices should be continued with other neighboring countries. 2. IHR Coordination, Communication and Advocacy o Establishment of an overarching cross government steering committee to oversee global health security activities through an all hazards approach. o Development of multi-sectoral, multidisciplinary coordination and communication mechanisms; and action plans through this overarching committee 3. Antimicrobial Resistance o Raise awareness among the general public on AMR and among health care workers in human and animal health sectors on surveillance, prudent use of antimicrobials and the importance of good practices o Increase laboratory capacity on AMR, both in the human and animal health sector and share AMR data across the sectors o Cooperate in a One Health approach between sectors at local, regional and national levels on AMR 4. Zoonotic Disease o Endorse and implement the national One Health strategic framework and action plan of Myanmar (2016-2019) o Establish information sharing systems, joint simulation exercises and formal coordination mechanisms between LBVD and DoPH o Expand the animal health workforce and organise continuous education for the existing workforce on local, regional and national levels 23 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 5. Food Safety o Establish a multi-sectoral strategy for a national food safety management and surveillance system from farm to fork o Implement food safety control management systems based on multi-sectoral involvement in risk profiling of food safety problems o Activate a transparent communication mechanism between all public and private food safety stakeholders 6. Biosafety and Biosecurity o Develop national biosecurity and biosafety legislation, regulations or frameworks o Undertake a comprehensive training needs assessment across human, animal and agricultural sectors o Establishing funding and ensuring sustainability for supporting comprehensive national biosafety and biosecurity system 7. Immunization o Conduct an EPI coverage survey o Develop a strategy/plan to cover the low coverage areas o Strengthen Human Resources capacity for supply, operations and mid-level management/ supervision o Develop communication plan for demand generation DETECT 1. National Laboratory System o Establish and maintain systematic collaboration between human and animal health laboratories, the national laboratory system should be considered one entity o Endorse and implement the National Strategic Plan for Health laboratories (currently drafted) o Developing national testing guidelines for clinicians and veterinarians based on financial and practical factual constraints to maximize the capacity for case diagnosis, indicative surveillance and outbreak contexts o Improve simple testing capability in remote areas, including point of care diagnostics and harvesting the flora of new combined lateral flow tests on the market, but under tight quality control by the central laboratory. 2. Real-Time Surveillance o Indicator based surveillance needs to include capacity building among primary 24 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) responders and provide education and follow-up of adherence. o A one-health approach encompassing human, animal and wildlife surveillance should be considered. o Review CD laws for IHR, review surveillance systems (indicative and event triggered), including list of notifiable diseases and syndromes o Look for possible bias in systematic data collection caused by geographical factors, capacity limits and knowledge among stakeholders 3. Reporting o Establish written processes and protocols for identifying and reporting potential PHEIC up to central level MOHS / NFP. o Improved workforce capability and awareness, including IHR responsibilities, risk assessment and reporting of a potential PHEIC, for human and animal health sectors (at national and subnational levels) o Ensure regular, systematic information sharing between human and animal health sectors o Improve Information Communications Technology (ICT) for reporting and information sharing 4. Workforce Development o To develop a HR strategic plan for next 5 years after evaluating existing HR strategic plan. This includes development of HR data base with tracking facilities o To increase health personnel stock level in line with Sustainable Development Goal (SDG) targets o To train more epidemiologists, biostatisticians and social scientists abroad or set up in-country training for those specialities which facilitate further strengthening of IHR core capacities . RESPOND 1. Preparedness o Develop a national multi-hazard public health emergency preparedness and response plan, which should include processes for funding, managing, and mobilizing emergency resources. o Undertake a National Risk Assessment and Resource Mapping, and update as needed 2. Emergency Response Operations o Identify and assign permanent staff for the PH EOC within an IMS structure, along with job descriptions and appropriate training 25 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) o Develop a PHEOC plan / handbook with associated SOPS o Initiate an exercise and continuous improvement programme for emergency preparedness and response by conducting at least one table-top and one functional exercise per year to reinforce IMS personnel training, skills and EOC operations. o Develop SOPs for response operations, daily functions, managing cases of infectious patients, including at the points of entry 3. Linking Public Health and Security Authorities o Develop a Memorandum of Understanding (MOU) or other agreement between public health and security organizations, which defines the criteria that trigger immediate sharing of information. o Develop SOPs for joint public health and security risk assessment of potential deliberate biological incidents that have both public health and security ramifications, as well as for implementing the information sharing MOU. o Develop a joint exercise program between public health and security authorities that tests and improves plans and procedures. 4. Medical Countermeasures (MCM) and Personnel Deployment o Develop a national plan for identifying procedures and decision making related to sending and receiving medical countermeasures during public health emergencies o Improving access to in-place stockpiles of countermeasures matching the risks that you foresee o Develop a national plan for identifying procedures and decision making related to sending and receiving health personnel during public health emergencies 5. Risk Communication o Develop an all-hazards national risk communications plan o Establish suitable funding to implement national risk communications plan and functions o Ongoing assessment of the effectiveness of public information messaging, including formalizing system for feedback and adjusting messaging as appropriate o Establish proactive and ongoing engagement with communities in areas where engagement is currently limited, to help inform messaging and risk assessment OTHER 1. Points of Entry o Develop and implement an encompassing National Public Health Emergency Contingency Plan for the designated points of entry and link it with the national 26 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) public health emergency plans. o Human resource capacity building and plan including for the animal health staff and staff at the ground crossings. o Conduct a formal evaluation for the PoEs core capacities and response to likely public health emergencies. o Establish/improve measures for vector control, safe environment and animal quarantine at the designated PoEs 2. Chemical Events o Finalize and approve the national CBRN contingency plan, which defines authorities, roles, and responsibilities across the whole of government for chemical event surveillance, alert, and response o Develop SOPs for chemical event detection, assessment, and response operations o Develop an integrated national chemical surveillance system, which incorporates lab analysis and centralized reporting of chemical events to the national PHEOC 3. Radiation Emergencies o Finalize and approve the national CBRN contingency plan, which defines authorities, roles, and responsibilities across the whole of government for radiological event surveillance, alert, and response (to include designating a radiological / nuclear focal point for coordination and communication with the IHR NFP) o Develop SOPs for radiation detection, assessment, and response operations o Develop an integrated national radiological surveillance system, which incorporates lab analysis and centralized reporting of radiological events to the national PHEOC

ANNEX II: DOCUMENTATION OF WORKSHOP FOR PLANNING OF NATIONAL ACTION PLAN FOR HEALTH SECURITY First Development Workshop Date: 13-15 September 2017 Place: Mingalar Thiri Hotel, Nay Pyi Taw, Myanmar Background/Context/Recommendations/Next Steps: Following the results of the JEE report, the government of Myanmar requested WHO support in developing the National Action Plan for Health Security (NAPHS). Myanmar is the first country in SEARO to launch NAPHS with integrated budgets. This shows 27 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) strong commitment and domestic/country ownership of the health security and sets a good example for other SEARO countries to follow suit. The three levels of WHO (HQ, RO, CO) will continue its effort to support Myanmar finalizing the NAPHS and turn into actions. The three day multi-stakeholder workshop, which brought together 62 participants including Myanmar’s officials (Permanent Secretary MOHS, DG and DDG, other head of agencies and authorities), partners and donors (PREDICT, FAO, UK, WB, USAID, ADB, JICA), institutions, and academia relevant for ensuring effective collaborations on health security. The meeting was led by the MoHS with support by WHO, outlined process steps and resulted in a first draft action plan covering key priority activities to prevent, detect, respond and other IHR-related hazards and PoE. Based on the substantial progress made during the workshop, the necessary steps to follow were agreed upon: the Myanmar government will send the draft NAPHS to respective department for approval with a clear focus on strengthening the IHR core capacities. Further comments will be compiled into the draft NAPHS and send to WHO. Together with the support of WHO and other partners, the Costed NAPHS will be finalized. The Costed NAPHS is proposed to be disseminated by March 2018. Second Development Workshop Date: 26-28 February 2018 Place: Mingalar Thiri Hotel, Nay Pyi Taw, Myanmar Background/Context: Changing interactions among human, animal and the environment in recent years has result in increasing emergence and re-emergence of infectious diseases, natural disasters and other public health emergencies of international concerns across the world. WHO Member States have agreed to work together to strengthen prevention, detection and response to public health emergencies under the International Health Regulations (2005). As a Member State, Myanmar has carried out Joint External Evaluation of IHR to assess the country’s capacity under the IHR to prevent, detect, and rapidly respond to public health threats in May 2017. Based on the findings and recommendations of JEE, the Ministry of Health and Sports (MoHS), Myanmar, has initiated development of five-year National Action Plan for Health Security with WHO’s technical support. A World Health Assembly (WHA)’s decision in May 2016 requested WHO to develop a global implementation plan that included immediate planning to improve delivery of the International Health Regulations (2005). The Global Action Plan recommends that Member States, with the support of WHO and development partners, develop and implement 5 year national action plans. Member States have also agreed to work towards Universal Health Coverage and to build resilient health systems which can adapt and respond to challenges posed by outbreaks and other emergencies. 28 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Myanmar National Action Plan for Health Security Costing Workshop Myanmar is the first country in SEAR that has developed NAPHS. The workshop on NAPHS costing was organized by the MoHS in Nay Pyi Taw, Myanmar, 26-28 February 2018. About 65 participants including High level officials, faciliators from 40 multi- disciplinary and multi-sectoral experts from MoHS and relevant ministries, and development partners such as WHO, FAO, US CDC, USAID, JICA, PHE, DFID, World Bank, ADB and PREDICT contributed technical expertise to the development of the plan and overall meeting execution. The relevant ministries involved in NAPHS development are Ministry of Agriculture Livestock and Irrigation, Department of Civil Aviation, Myanmar Port Authorities, Myanmar Port Authorities, Department of Customs, Department of Immigration, Department of Forestry, Ministry of Defence, Ministry of Foreign Affairs, Myanmar Police Force, General Administration Department, Department of Atomic Energy (TL), Department of Relief and Resettlement and City Development Committee. The main objective of the workshop was to finalize planned activities and to cost a 5-year National Action Plan for Health Security, based on the JEE recommendations and other complementary assessments and national strategic plans. Priority activities were framed taking into account One Health, health system strengthening and whole of government approaches. The Ministry of Health and Sports in collaboration with relevant ministries and development partners reviewed previous planning documents to finalize proposed activities and ensuring the linkage with on-going national strategies and guidelines, such as the National Health Plan, National Action Plan for Antimicrobial Resistance, National Strategic Plan for Health Laboratory, Biosafety and Biosecurity guideline, One Health Strategic plan and National Risk Communication Plan. The main outcome of the meeting was the draft Myanmar National Action Plan for Health Security and costed work plan, with key priorities and cost drivers identified for detailed costing and time bound milestones and targets for a phased implementation. In addition, almost all of the participants have learned costing tool of NAPHS and worked out on the costing on their own. This is also a significant achievement of the workshop. The plan will be a coordination platform to map and ensure interplay between multiple sectors and other existing plans at all administrative levels of the country. The meeting highlighted the commitment of the Government of Myanmar and development partners such as ADB to strengthen health security, the importance of national financing for sustainability, the role of private sector engagement and the importance of resilient health systems in health security. The meeting further emphasized strong country ownership, WHO leadership and active partnership to develop and implement the National Action Plan and to match resources to gaps. The government, donors and technical partners expressed their collaborative support to take forward the National Action Plan for Health Security in Myanmar. Recommendations: 1. Prioritize the finalization of the National Action Plan for Health Security: both the narrative and the costed workplan, aligning high level objectives with costs and 29 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) scoring of JEE. 2. Align activities to the desired outcome indicators to have measurable data for monitoring and evaluation of the plan. 3. Cross-check activities across 19 technical areas to ensure integrating of One Health approach in NAPHS without overlapping the activities. 4. Implementation of NAPHS should focus on sub-national level to enhance capacity of states/regional level health care system. 5. NAPHS should link strategically with Myanmar Sustainable Development Plan. This linkage would help to ensure integration of NAPHS in national financing programme resulting in effective communication with Development Assistance Coordination Unit and MoPF. 6. Ministry of Planning and Finance suggested the MoHS to share costed NAPHS including potential funding source and to prioritize activities for implementation when the MoHS submits NAPHS to MoPF for financing. 7. Costed NAPHS should be in line with Myanmar budget year. 8. ADB has committed that their GMS project would contribute towards nearly 10% of NAPHS implementation. 9. Establish a robust monitoring & evaluation mechanism to ensure timely and effective implementation of planned activities and milestones. 10. Existing Technical Strategy Group for Public Health Emergency & Preparedness in Myanmar Health Sector Coordination Committee can be a good platform for overseeing the implementation of NAPHS. Next Steps: 1. Share the draft costed NAPHS within MoHS and with relevant ministries by second week March 2018. 2. Consolidate the comments from key focal points from MoHS and relevant ministries by May 2018. 3. Finalize the costed NAPHS under the leadership of Central Epidemiology Unit, MoHS in collaboration with relevant ministries and partners in June 2018. 4. Submit and obtain high level Government’s endorsement of NAPHS in July 2018. 5. Disseminate the costed NAPHS in August 2018. 6. Launch and initiate resource mobilization efforts for NAPHS in 2018. 7. Submit the NAPHS and budget for inclusion in 2019 national budget in 2018. 8. Implement, Monitor and Evaluate NAPHS: 2018-2022. 30 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Table 4. Participant List for workshops: Sr. Participant Designation Organization 1 Prof. Dr. Thet Khaing Win Permanent Secretary Ministry of Health and Sports (MoHS) 2 Dr. Thar Tun Kyaw Director General Ministry of Health and Sports 3 Dr. Than Tun Aung Deputy Director General Department of Public (Disaster) Health (DoPH), MoHS 4 Prof. Dr. Htay Htay Tin Deputy Director General Department of Medical (NHL) Services, MoHS 5 Dr. Thaung Hlaing Deputy Director General Department of Public (Public Health) Health (DoPH), MoHS 6 Dr. Thet Thet Mu Deputy Director General Department of Public (HMIS) Health (DoPH), MoHS 7 Dr. Thandar Lwin Deputy Director General Department of Public (Disease Control) Health (DoPH), MoHS 8 Dr. Win Naing Deputy Director General Ministry of Health and (PSM) Sports (MoHS) 9 Prof. Dr. Soe Lwin Nyein Technical Advisor to Union Minister 10 Dr. Htun Tin Director (Epidemiology) Department of Public Health, MoHS 11 Dr. Win Thein Director, NHL National Health Laboratory, Department Medical Service, MoHS 12 Dr. Moe Khaing Director (Medical care) Department of Medical Services 13 Dr. Phyu Phyu Aye Director (HLPU) Department of Public Health, MoHS 14 Dr. G Seng Taung Director (Planning) Department of Public Health, MoHS 15 Dr. Aung Moe Director Department of Atomic Energy, Ministry of Education 16 Lt. Col Khine Zaw Oo Head of Department Defence Service Medical Research 17 Lt. Col Moe Kyaw Defence Service Medical Research 18 Dr. Thin Thin Nwe Deputy Regional Public Regional Public Health Health Director Department, Mandalay, MoHS 31 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Sr. Participant Designation Organization 19 Dr. Min Thein Maw Director Livestock, Breeding, Veterinary Department (LBVD), Ministry of Agriculture, Livestock and Irrigation (MoALI) 20 Dr. Ye Min Htwe Deputy Director NIMU, MoHS 21 Dr. Lwin Lwin Oo Hlaing Deputy Director Department of Medical Services, MoHS 22 Dr. Mya Mya Aye Deputy Director Department of Medical Research, MoHS 23 Dr. Sabei Htet Htet Htoo Deputy Director Dpt. of FDA, MoHS 24 Dr. Hnin Nandar Kyaw Deputy Director Dpt. of Food and Drug Administration, DoPH, MoHS 25 Daw Aye Aye Maw Deputy Director Chemical Examiner Office, Myanmar Police Force 26 Dr. Aye Mya Aung Deputy Director Department for Human Resource for Health, MoHS 27 Dr. Khin Khin Gyi Deputy Director Central Epidemiology Unit, DoPH, MoHS 28 Dr. Toe Thiri Aung Deputy Director Central Epidemiology Unit, DoPH, MoHS 29 Dr. Nyan Win Myint Deputy Director Central Epidemiology Unit, DoPH, MoHS 30 Dr. Khin Sanda Aung Deputy Director Central Epidemiology Unit (CEU), DoPH, MoHS 31 Dr. Aung Kyaw Moe Deputy Director EPI, DoPH, MoHS 32 Dr. Thu Zar Lwin Oo Deputy Director Department of Atomic Energy, Ministry of Education 33 U Soe Nyunt Hlaing Deputy Director Union Attorney General Office 34 U Than Oo Deputy Director Ministry of Information 35 Dr. Sai San Mya Assistant Director Food and Drug Administration, DoPH, MoHS 36 Dr. Aung Soe Htet Assistant Director IRD, MoHS 37 Dr. Aung Naing Oo Assistant Director EPI 32 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Sr. Participant Designation Organization 38 Dr. Phyu Win Thant Assistant Director NIMU 39 Dr. Thet Wai Nwe Assistant Director IHR/ CEU 40 Dr. Kyaw Khine San Assistant Director Disaster, DoPH, MoHS 41 Dr. Aye Lwin Assistant Director CEU, DoPH, MoHS 42 Dr. May Wint Wah Assistant Director Public Health Laboratory, Mandalay 43 Dr. Sanda Aung Assistant Director Medical Care 44 Dr. Thinzar Aung Assistant Director CEU, DoPH, MoHS 45 Dr. Ei Ei Zar Nyi Assistant Director CEU 46 Dr. Htoo Myint Swe Assistant Director Planning, DoPH, MoHS 47 Dr. Aung Myat Htay Assistant Director CEU 48 Dr. Yan Linn Aung Assistant Director CEU 49 Dr. San Kyu Kyu Aye Lecturer, PSM, UMM Preventive and Social Medicine, University of Medicine, Mandalay 50 Daw Swe Swe Win Assistant Director General Administrative Department 51 Daw Thida Aung Assistant Director Department of Immigration 52 Daw Khaing Mon Kyaw Assistant Director Chemical Examiner’s Office, Myanmar Police Force 53 U Nay Win Assistant Director Department of Agriculture 54 Dr. Lin Lin Bo Assistant Director LBVD, MoALI 55 Dr. Hein Zeya Assistant Director Nay Pyi Taw City Development Council 56 Dr. Phyu Sin Thein Head of Department Disease Prevent Control Unit, DSMR 57 U Soe Naing Assistant Director General Administration Department 58 Daw Thandar Assistant Director Union Attorney General Office 59 Dr. Sai Myo Nyunt Medical Officer CEU, DoPH, MoHS 60 Dr. Nyan Htet Lwin Chief Officer Port Health, Yangon, DoPH, MoHS 61 Dr. Yin Min Min Htut Medical Officer Planning, DoPH, MoHS 33 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Sr. Participant Designation Organization 62 Dr. Kyaw Kyaw Naing Medical Officer EPI, DoPH, MoHS 63 Dr. Aung Thu Medical Officer CEU, DoPH, MoHS 64 Dr. May Pyone Myint Medical Officer CEU, DoPH, MoHS 65 Dr. B La Tawng Medical Officer CEU, DoPH, MoHS 66 Dr. Myat Pwint Phyu Medical Officer CEU, DoPH, MoHS 67 Dr. Zaw Myo Latt Medical Officer CEU, DoPH, MoHS 68 Dr. Zin Ko Ko Chit Medical Officer CEU, DoPH, MoHS 70 Dr. Min Thein Aung Medical Officer CEU, DoPH, MoHS 71 Dr. Zaw Ye Htut Medical Officer OEH, DoPH, MoHS 72 Deliver Htwe Research Officer Department Medical Research 73 Dr. Aung Tun Research Officer LBVD 74 Daw Ei Ei Mon Assistant Officer Chemical Examiner’s Office, Myanmar Police Force 75 Daw Khin Thet Win Assistant Staff Officer Myanmar Police Force 76 Dr. Stephan Paul Jost WHO Representative to World Health Organization Myanmar 77 Dr Ludy Prapancha Team Leader, WHO HQ World Health Organization Suryantoro 78 Dr. Jostacio M. Lapitan Technical Officer, WHO HQ World Health Organization 79 Dr. Glenn Pierre Maesa Technical Officer, WHO HQ World Health Organization LOLONG 80 Dr. Maung Maung Than Technical Officer, WHO World Health Organization Htike SEARO 81 Dr. Mya Yee Mon National Professional World Health Organization Officer 82 Dr. Tint Maw National Consultant World Health Organization 83 Ms Hnin Hnin Pyne Senior Human World Bank Development Specialist 84 Dr. Si Thu M&E Consultant World Bank 85 U Min Thu Consultant World Bank 86 Dr. Nu Nu Khin Program Management USAID Specialist (Health Program Manager) 34 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Sr. Participant Designation Organization 87 Mr. Ben Zinner Deputy Director (Health) USAID 88 Mr. Ikana Nozaki Representative JICA 89 Mr. David Hadrill Country Team Leader FAO 90 Ms. Emmeline Buckley Project manager, Global Public Health England Public Health 91 Dr. Wai Lwin Health Advisor DFID 92 Dr. Ohnmar Aung Project Coordinator PREDICT 95 Dr Ohn Kyaw One Health Coordinator FAO 96 Dr. Ei Ei Khin Consultant US CDC 97 Dr. Kyi Thar Consultant ADB 98 Dr. Myat Kyaw Deputy Chief Technical GMS – HS Project Advisor 99 Dr. Tay Zar Soe M & E Consultant GMS – HS Project

ANNEX III: ROLES AND RESPONSIBILITIES National Cross Government Steering Committee for Health Security Myanmar needs to prevent, protect, control and provide response to public health risks, effect of diseases including international spread of disease assuring Health Security of Myanmar people. Development and effective implementation of five year National Action Plan for Health Security is essential to fulfil this needs. So, National Cross Government Steering Committee will do overseeing the progress and effectiveness of realization of NAPHS through working with Public Health Emergency and Preparedness Technical Strategic Group. This Committee was proposed to form and will be active with endorsement of its’ members and functions. Proposed functions of the National Cross Government Steering Committee for Health Security The National Cross Government Steering Committee for Health Security will have the following roles and functions:- • Provide policy, decision making and strong commitments • Ensure cooperative efforts among multi-sectoral and disciplinary to as a “One” • Provide strategic leadership in the development, implementation and sustainability of health and wellbeing of people, animals and the environment 35 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) • Provide strategic advice, support and assistance in the implementation of the five years strategic plan • Monitor identified and emerging risks and provide guidance on their prevention, mitigation and management • Recognize barriers and enablers to fully implement the strategic plan • Mobilize resources • Monitor the implementation of the strategic plan • Monitor the budget and expenditure of the program • Establish committees at different levels of implementation, including Technical Working Group at National level. Role of individual members of the National Steering Committee for Health Security The role of the individual members of the National Steering Committee for Health Security is as follows: • attending regular meetings and actively participating in the committee’s work • Provide interest and commitments to representing ministry for NAPHS • a genuine interest in the initiatives and the outcomes being pursued in the program • being an advocate for the program’s outcomes • being committed to, and actively involved in, pursuing the program’s outcomes General Membership The National Cross Government Steering Committee for Health Security shall be comprised of: • Union Minister for Ministry of Health and Sports • Union Minister for Ministry of Agriculture, Livestock and Irrigation • Union Minister for Ministry of Natural Resource and Environmental Conservation • Union Minister for Ministry of Labour, Immigration and Population • Union Minister for Ministry of Planning and Finance • Union Minister for Ministry of Education • Union Minister for Ministry of Transport & Communications • Union Minister for Ministry of Defence • Union Minister for Ministry of Social Warfare, Relief and Resettlement • Union Minister for Ministry of Home Affairs 36 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) • Union Minister for Ministry of Information • Union Minister for Ministry of Foreign Affairs • Union Minister for Ministry of Transport and Communication • Member form Union Attorney General Office • Representative from WHO • Representative form UN agencies • Representatives from other development partners

ANNEX IV: Implementation with Monitoring and evaluation of the plan Monitoring, Supervision and Evaluation of implementation of the National Action plan for Health Security will be carried throughout its’ life of plan, through the systems, mechanisms and approaches identified below, according the major elements of the global IHR M&E framework. In addition, the major indicators will be in further development within M&E frame works and plan NAPHS that will be in line with IHR M & E frame work, existing M & E frame work in each areas and M & E frame work Myanmar National Health Plan intending ways to UHC. The focal person for each area will conduct monitoring, supervision and evaluation for implementation of activities in each area in collaboration with National Cross Government Steering Committee and National Focal Point of IHR regularly and periodically. These M & E action will be integrating and cooperating the existing ongoing program and activities as much as possible in order to utilize less resources. o Monitoring for activity progress or achievement of NAPHS Plan National Cross Government Steering Committee (NCGSC) and National Focal Points of IHR (NFP) and technical area focal lead will monitor progress of activities implementation by time by time and as necessary in ad hoc. Technical area focal lead will use the Activity Monitoring table regularly. By using this table, the progress or behind of the activity against the planned is clearly seen and can be used as desktop for progress monitoring as out of process by NAPHS. During regular Monitor and Coordination meetings, it will be shared to NCGSC, TSG and NFP including constraints, challenges and gaps for further decision to actions together. The example of Activity Monitoring Table is described below. 37 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Table 5: Activity Monitoring Table: Sample MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL Basic IHR inputs Costing Re- List pending TECH- Graphs National Legislation Coordination NICAL AREA Preven- tion 5 Food Safety question- Matrix naire sults 1 items AMR1 JEE Biosafe- Reporting Mechanisms for multisectoral collaboration established to ensure rapid Zoonotic Food Immuniza- Indica- P.5.1 ty-Biose- Laboratory Real Time Surveillance Workforce response to food safety emergencies and outbreaks of foodborne diseases Disease Safety tion tor curity Development Prepared- Emer- Linking Med Risk PoEs Chemical event JEE ness gency PH n Counter Communication Radiation 2 Scores Re- Security measures Emergencies sponse Ath * Establish a multi-sectoral strategy for a national food safety management and surveillance JEE system from farm to fork recom- * Implement food safety control management systems based on multi-sectoral involvement menda- in risk profiling of food safety problems tions * Activate a transparent communication mechanism between all public and private food safety stakeholders To promote capacities for serveillance and response among State parties for food- and water- Objec- born disease riskes or events tive To strengthen effective communication and collaboration among the sectors responsible for food safety, and safe water and sanitation No Sum- Responsi- Related Detailed activities Where is Output Comments Exist- Existing Estimated Year of mary of ble author- existing plan/ (input description for the action indicators or ing budget cost implementation Planned ity(s) framework costing) to be im- (Monotor- Potential budget source (Local Activities for Imple- / Programe plemented ing and chal- (y/n) (govern- currency) at Nation- metation or on going (National Evalua- lenges ment, 2 2 2 2 2 al Level including activities or sub-na- tion) donor?) 0 0 0 0 0 (Strategic budget line tional) 1 1 2 2 2 actions) holder 8 9 0 1 2 1 Guidelines CEU, FDA, Rapid Re- (1) Advocacy meeting National Guideline/ Multi- N ( 9000* (20 - 6 1 Meeting : Per diem = 9000 1 for the Laborato- sponse Team to develop guidline, manual sectoral 2,136,000 ) *1 + 6 * 3 * Participants = 20 Days = 1, National ry- MoHS, (RRT) already training Modules and to and task involve- 30000 + 6 * Participants away = 6 Days Food Safe- LB- established, organize or form task force ment and 95000 + 1 * away = 3 Diem away = 30000 ty Emer- VD-MoALI outbreak force for National Food developed commu- 250000 ( True) Travel costs participants away gency and management Safety Emergency and in time nication +20 * 1 * ( = 95000, Tea break = 10000, Outbreak guidelines. Outbreak Response of mech- 15000True + Lunch = 15000, Stationary = Response food borne diseases anism, 10000True) + 20 2500, Venue = 250000, Print- of food (20 partcipants, Away 6, human * 2500True ) * 1 ing costs = 0, Disseminating borne 1 day, 2 time ) resources +0+0 costs = 0 diseases and financial support (2) Task force meetings National Guideline/ Multi- N ( 9000* (15 - 6 1 Meeting : Per diem = 9000 2 to develop draft guidline, manual sectoral 1,903,500 ) *1 + 6 * 3 * Participants = 15 Days = 1, training Modules drafted involve- 30000 + 6 * Participants away = 6 Days (15 participants, Away 6, ment and 95000 + 1 * away = 3 Diem away = 30000 1 dya, 4 times) commu- 250000 ( True) Travel costs participants away nication +15 * 1 * ( = 95000, Tea break = 10000, mech- 15000True + Lunch = 15000, Stationary = anism, 10000True) + 15 2500, Venue = 250000, Print- human * 2500True ) * 1 ing costs = 0, Disseminating resources +0+0 costs = 0 (3) All stakeholders National Guideline/ Multi- N ( 9000* (40 - 20 1 Meeting : Per diem = 9000 1 involvement Workshop manual sectoral 7,360,000 ) *2 + 20 * 4 Participants = 40 Days = 2, on finalizaton of National Developed involve- * 30000 + 20 Participants away = 20 Days Food Safety Emergency ment and * 95000 + 2 * away = 4 Diem away = 30000 and Outbreak Response commu- 250000 ( True) Travel costs participants away of fo od borne diseases nication +40 * 2 * ( = 95000, Tea break = 10000, Guideline, training mech- 15000True + Lunch = 15000, Stationary = Modules anism, 10000True) + 40 2500, Venue = 250000, Print- (40 participants, Away human * 2500True ) * 1 ing costs = 0, Disseminating 20, 2 days, 1 time ) resources +0+0 costs = 0 FDA, NHL- (4) Dessimination National Dessimi- N ( 9000* (70 - 30 1 Workshop : Per diem 1 MoHS, workshop/meeting for nation 8,085,000 ) *1 + 30 * 3 = 9000 Participants = 70 LBVD- Guidelines on National meeting * 30000 + 30 Days = 1, Participants away MoALI Food Safety Emergency conducted * 95000 + 1 * = 30 Days away = 3 Diem and Outbreak Response 250000 ( True) away = 30000 Travel costs of food borne diseases +70 * 1 * ( participants away = 95000, Guideline, training 15000True + Tea break = 10000, Lunch = Modules 10000True) + 70 15000, Stationary = 2500, (70 participants per * 2500True ) * 1 Venue = 250000, Printing meeting, 35 away, for +0+0 costs = 0, Disseminating 2 days) costs = 0 38 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Table 5.a. Activity Monitoring Table: Sample Plan and achievement by Year Summary of Detailed activities 2018 2019 2020 2021 2020 Planned Activities Estimated cost Sr. (input description (Local currency) Achieved Achieved Achieved Achieved Achieved at National Level Plan Plan Plan Plan Plan (Strategic actions) for costing) o Annual Reporting The country will continue to report annually on the development of the main IHR (2005) core capacities as their obligation to report annually to the World Health Assembly on the implementation of IHR (2005). This annual report is generated from regular internal reporting mechanism, meetings, supervisions and evaluation of implementation of NAPHS plan. o Meetings Meetings on coordination among stakeholders and evaluation on implementation of NAPHS will explore the process, mechanism for more effective coordination and do effective prompt actions against constraints and challenges during implementation of activities. Again, these process will enforce implementation of NAPHS’s activities to be on track according to plan and effectiveness, efficiency and quality of activities, NAPHS. Regular monthly, quarterly, bi-annual and annual will be conducted in each technical area accordingly for more coordination, evaluation and actions needed. Ad-hoc meetings will be as part of monitoring process for urgent actions as necessary. o Supervision Visits Topping up with onsite supervisions on regular monitoring on reports and meeting will be conducted as per plan and as necessary on needs. This will supports to implementer for more skills, improvement of relevant technical and in doing on-job trainings. These will significantly increase the quality outputs of activities in operating of NAPHS as parts of improvement plan for core capacities of IHR. o Simulation Exercises and testing Country team will conduct simulation, testing exercised according to plan to test the functionality of the system in a non-event environment and to validate the functional capacities of a system. In addition, there will be more simulation exercise specific for radiation emergencies and chemical events annually. The findings of exercises can provide a more operational view in the level of capacities across the nineteen technical areas for further actions necessary as well. o After Action Review An after action review (AAR) is a qualitative review of actions taken to respond to an 39 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) emergency as a means of identifying best practices and lessons learned. This will give country team opportunities to act the activities against actual views and doing revision activities planned in NAPHS revision. o The Joint External Evaluations The initial JEE provided key recommendations that guided the development of the national actions plan for health security. A second JEE will be conducted as part of the end- evaluation of the NAPHS. There will also be yearly review and revise activity of the plan to assess progress, identify bottlenecks to implementation and provide recommendations to guide implementation in the next year of the plan period. In addition to this, mid- term evaluation and end year plan evaluation will be conducted in which progress and effectiveness of NAPHS operation and status of core capacity will be assessed. JEE will be carried out at the 5th year of project life, and annual coordination, review and revise meetings for 5th year of NAPHS implementation will be conducted after JEE visit so that findings and recommendations will be incorporated into revising NAPHS for next 5 year plan.

ANNEX V: Advocacy and Communication Strategy Sustainable Core capacity level of country regarding with implementation IHR (2005) to ensure Country’s Health Security will be on effective timely operation of NAPHS during 2018 and onwards. Multi-sectoral approaches with their involvement and commitments will create the good pictures of outcomes by NAPHS. Using effective and appropriate advocacy and communication strategies will realize implementation of NAPHS resulting intended goals and objectives. The followings strategies on advocacy and communication will be used as basic approaches for implementation of NAPHS in line to ensure IHR (2005) o Advocacy Letting know of NAPHS and its’ implementation to the policy and decision makers will establish strong commitments and interests for the supports to implementation of activities. Implementer, related/relevant stakeholders and partners would give more inputs and cooperative efforts into plans for effective timely implementation. Acceptance and participation by community and beneficiaries to implementation will be in sustainable actions remained. In doing so, availability of funds, human resources, more participation will be increased. o Awareness Awareness on NAPHS operation in line with IHR increased will make more understanding of NAPHS among higher level officers, stakeholders, partners, implementers and community/beneficiaries. This understanding on activities of NAPHS by them will be increase their acceptance, supports and collaboration in operation of NAPHS activities. 40 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Education with IEC material, talks, documentary, video and airing will be used as necessary and appropriately for awareness promoted and increased o Orientation All stakeholders, partners, implementers including beneficiaries is essential to know NAPHS what type of activities or actions will be conducted by whom at what time for how long duration and at which place with for what objectives, and how monitoring, evaluation approaches. These information will create ability for stakeholder to find engagement place or points for them and to cooperate implementation of NAPHS activities. These will ensure multi-sectoral approach and their involvments. o Simulation and exercises and drills The knowledge, information and understanding on operation and objectives in operation of NAPHS needs a platform or places in order to be tested or exercise done, from which harmonized movements, coordination by time to time will be in place as active functioning. So, multi-sectoral involvement simulation, exercise, drills including beneficiaries will important for effective implementation of NAPHS’s activities. This will result trusts increased among and by all related stakeholders. o Risk Communication Plan In order to increase awareness through advocacy, education for more knowledge, information and facts, communication plan for public and emergency/ risks will be utilized by implementer, stakeholders and partners. What type of information and facts will be disseminated by what channel to public before and after the events are included in Communication plan. Assessment of ongoing information and doing correct and appropriate feedback will be included in communication plan so that all persons and community will increase more understanding of operating NAPHS and IHR for health security of country. o Media Surveillance and rumor verification Existence and spreading of correct or appropriate information, knowledge and facts on public emergencies and events is essential for improving health security of country through operation of NAPHS. So, implementer, all stakeholder and partner will conduct the implementation of media surveillance and rumor verification by assigning one designated unit and focal person. o Community Engagement for inclusion In doing the communication strategy above will enable and ensure engagement by community starting by initial participation. Understanding and acceptance through communication strategies will be increased for sustainable actions of NAPHS, and in turn, demands will be generated by themselves for their healthy lifestyle. Therefore, community will do more engagement in NAPHS not only implementation but also in planning phase. 41 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS)

ANNEX VI: Key Technical Areas and experts for Country Planning Participants lists and list of Stakeholders including Sectors and Partners WHO country office, Myanmar and Technical Professional Officer works closely with Central Epidemiological Unit, MoHS and supports not only technical in all areas as necessary but also financing for this NAPHS development. Development partners such as US-CDC did providing technical and time in development of NAPHS. Table 6: Key Technical areas and Experts: Strategic Technical areas Responsible Person Designation Department/ Category Organizations I. 1. National Dr Htun Tin Director DoPH, MoHS legislation, Dr Khin Khin Gyi Deputy Director CEU, MoHS PREVENT policy and Dr. Aung Min Thein Assistant Director Union Attorney financing General’s office Dr Htoo Myint Swe Assistant Director DPF, MoHS Dr Aung Thu Medical Officer CEU, MoHS 2. IHR coordina- Dr Kyaw Khaing Director, (Assistant IRD, MoHS tion, commu- Permanent Secretary) nication and Dr Htun Tin Director DoPH, MoHS advocacy Dr Nyan Win Myint Deputy Director CEU, MoHS Dr Khin Sandar Aung Deputy Director CEU, MoHS Dr Thet Wai Nwe Assistant Director CEU, MoHS 3. Antimicrobial Prof. Dr Htay Htay Tin Deputy Director DMS, MoHS resistance General, NHL Dr Htun Tin Director DoPH, MoHS Dr Latt Latt Kyaw Deputy Director, NHL DMS, MoHS Dr Win Thein Deputy Director, NHL DMS, MoHS Dr Eh Htoo Assistant Director, NHL DMS, MoHS Dr Khin Nyein San Assistant Director, NHL DMS, MoHS 4. Zoonotic Dr Min Thein Maw Director, LVBD MoALI diseases Dr Htun Tin Director DoPH, MoHS Dr Khin Sanda Aung Deputy Director CEU, MoHS Dr Yan Linn Aung Assistant Director CEU, MoHS 42 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Strategic Technical areas Responsible Person Designation Department/ Category Organizations 5. Food safety Dr Htin Linn Deputy Director FDA, MoHS General Dr Htun Tin Director DoPH, MoHS Dr Min Thein Maw Director, LVBD MoALI Dr Sabai Htet Htet Assistant Director FDA, MoHS Htoo 6. Biosafety and Prof. Dr Htay Htay Tin Deputy Director DMS, MoHS biosecurity General, NHL Dr Htun Tin Director DoPH, MoHS Dr Latt Latt Kyaw Deputy Director, NHL DMS, MoHS Dr Win Thein Deputy Director, NHL DMS, MoHS Dr Ohnmar Lwin Assistant Director, NHL DMS, MoHS 7. Immunization Dr Htun Tin Director DoPH, MoHS Dr Htar Htar Linn Deputy Director EPI, MoHS Dr Aye Mya Chan Thar Assistant Director EPI, MoHS Dr Aung Naing Oo Assistant Director EPI, MoHS II. 1. National Prof. Dr Htay Htay Tin Deputy Director DMS, MoHS laboratory General, NHL DETECT system Dr Latt Latt Kyaw Deputy Director, NHL DMS, MoHS Dr Win Thein Deputy Director, NHL DMS, MoHS Dr Eh Htoo Assistant Director, NHL DMS, MoHS 2. Real Time Dr Htun Tin Director DoPH, MoHS Surveillance Dr Toe Thiri Aung Deputy Director CEU, MoHS Dr Aung Myat Htay Assistant Director CEU, MoHS Dr Ei Ei Zar Nyi Assistant Director CEU, MoHS 3. Reporting Dr Htun Tin Director DoPH, MoHS Dr Toe Thiri Aung Deputy Director CEU, MoHS Dr Khin Sandar Aung Deputy Director CEU, MoHS Dr Thet Wai Nwe Assistant Director CEU, MoHS Dr Aung Myat Htay Assistant Director CEU, MoHS 4. Workforce Dr Htun Tin Director DoPH, MoHS Development Dr Phyu Phyu Aye Director HLPU, MoHS Dr Aye Mya Aung Deputy Director HRH, MoHS 43 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Strategic Technical areas Responsible Person Designation Department/ Category Organizations III. 1. Preparedness Dr Htun Tin Director DoPH, MoHS Dr Khin Sandar Aung Deputy Director CEU, MoHS RESPOND Dr Kyaw Khine San Assistant Director Preparedness, MoHS Dr Aung Myat Htay Assistant Director CEU, MoHS 2. Emergency Dr Htun Tin Director DoPH, MoHS Response Dr. Toe Thiri Aung Deputy Director CEU, MoHS Operation Dr Kyaw Khine San Assistant Director Preparedness, MoHS Dr Aung Myat Htay Assistant Director CEU, MoHS 3. Linking Dr Htun Tin Director DoPH, MoHS Public Health Dr Kyaw Khin San Assistant Director Preparedness, & Security MoHS Authority Dr Moe Khine Assistant Director DMS, MoHS Dr Aung Myat Htay Assistant Director CEU, MoHS 4. Medical Counter Dr Htun Tin Director DoPH, MoHS Measures and Dr Kyaw Khin San Assistant Director Preparedness, personnel MoHS deployment Dr Moe Khine Assistant Director DMS, MoHS 5. Risk Communi- Dr Htun Tin Director CEU, MoHS cations Dr Phyu Phyu Aye Deputy Director HLPU, MoHS Dr Yi Yi Win Deputy Director HRH, MoHS Dr Thet Wai Nwe Assistant Director CEU, MoHS Dr Yan Lin Aung Assistant Director CEU, MoHS IV. 1. Point of Entry Dr Htun Tin Director DoPH, MoHS Other IHR Dr Min Thein Maw Director, LVBD MoALI related Dr Nyan Win Myint Deputy Director CEU, MoHS hazards & Point Dr Thet Wai Nwe Assistant Director CEU, MoHS of Entries Dr Nyan Htet Lwin Medical Officer Yangon Port (PoEs) Health, MoHS 44 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Strategic Technical areas Responsible Person Designation Department/ Category Organizations 2. Chemical Event Dr Htun Tin Director DoPH, MoHS Col Khine Zaw Oo DMSR Dr Khaing Khaing Soe Assistant Director EH, MoHS Dr Aung Thu Medical Officer CEU, MoHS 3. Radiation Dr Htun Tin Director CEU, MoHS Emergency Dr Aung Moe Director DAE, MoE Dr Thuzar Lwin Oo Deputy Director DAE, MoE Dr Khaing Khaing Soe Deputy Director EH, MoHS 45 MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL TECHNICAL AREA Prevention 1 Total National Legislation, Policy and Financing Estimated cost JEE Indicator P.1.1 Legislation, laws, regulations, administrative requirements, policies or other government instruments in place for implementation of IHR. (USD) JEE Scores 2 254,347.31 JEE recommendations * Myanmar should ensure that in the revised laws and regulations both from human health and animal health that the country is planning to present to Total Estimated cost the parliament, have legislations and regulation that support strengthening the IHR capacities implementation in the country. Total cost per year of implementation (Local * Myanmar needs to continue the best practice of having cross border local MoU between Thailand and Myanmar. The practices should be continued with currency) other neighboring countries. (Kyats) Objective To have sufficient national legislation, policy and framwork to support IHR implementation - 146,409,800 69,440,000 43,140,000 137,792,000 396,781,800 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 46 1 To establish or develop MOHS, MOA- Discussion with (3) Hiring of International National Final draft Coordination N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , 2 cross-boarder MOUs LI, MONREC responsible Consultants laws submit- and information 19,562,400 + 660000) + Per diem = 238920 ; - 39,124,800 - - - 39,124,800 with neighbouring coun- and other persons from (2 national experts for 20 days ted to the sharing problems 1 * 1584000 = Daily rate = 660000 : Travel = 1584000 tries on public health relevent Parliament, each, 2 persons for OIE tool parliament among variety of 19562400 emergencies stakeholders Union Attorney for Evaluation of Performance sectors/players General Office of Veterinary Services (OIE and other stake- PVS tool) holders. 2 To review the existing Myanmar and MBDS network, (1) hire the national consul- National MOU Different laws and N 1 * 40 * (80000 + Number = 1 ; No of Days : 40 , 1 ASEAN framework and neighbouring ASEAN frame- tant to review existing MOUs and developed policies within 11,200,000 200000) + 1 * 0 = Per diem = 80000 ; - - 11,200,000 - - 11,200,000 health clusters to include countries, work, ASEAN or aggrements for recommen- Sub-na- and done for neighbouring and 11200000 Daily rate = 200000 : Travel = 0 the aspect of public ASEAN health clusters dations and follow up actions tional Rapid and ASEAN countries. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) health emergencies countries (for 40 days) effective cross-border IHR imple- mentation 3 Regular assessment Related Min- IHR (2005), Gov- (1) hire the national consul- National assessment collarboration N 1 * 60 * (80000 + Number = 1 ; No of Days : 60 , Per diem = 3 identifying adjustment istries, coor- ernment policie tants for periodic assessment and done for from different 16,800,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - - - - 50,400,000 50,400,000 needs for relevant leg- dinated by and existing Laws for indentification of adjust- Sub-na- adjustment departments, 16800000 islation, regulations or the steering ment and needs tional needs timeframe administrative require- committee (3 National consultants for ments every 5 years 60 days ) Related Min- IHR (2005), Gov- (2) Conducting field visits for National Number of collarboration N 3 * 3 * 31000 + 3 * 9 istries, coor- ernment policie assessment and field visit by from different 1,038,000 95000 + 1 * 132000 - - - - 9,342,000 9,342,000 dinated by and existing Laws with stakeholders and respon- Sub-na- consultant departments, * 3 + 3 * 1 * 26000 the steering sible persons for interviews, tional to conduct timeframe = 1038000 committee documents review, assessment assessment meetings ( 3 consultants for and done for 3 days per 3 times for each adjustment consultant needs Related Min- IHR (2005), Gov- (3) Meetings with stakehold- National Number of collarboration N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 3 istries, coor- ernment policie ers and responsible officials at and meeting from different 4,125,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = 15 - - - - 12,375,000 12,375,000 dinated by and existing Laws Field visits by Consultants Sub-na- with stake- departments, + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel the steering tional holders and timeframe 250000 ( True) +30 costs participants away = 95000, Tea committee assessment * 1 * ( 15000True break = 10000, Lunch = 15000, Station- done for + 10000True) + ary = 2500, Venue = 250000, Print Dis = adjustment 30 * 2500True ) * 1 90000, Printing costs = 0, Disseminating needs +0+0 costs = 0 JEE Indicator P.1.1 Legislation, laws, regulations, administrative requirements, policies or other government instruments in place for implementation of IHR. JEE Scores 2 JEE recommendations * Myanmar should ensure that in the revised laws and regulations both from human health and animal health that the country is planning to present to the parliament, have legislations and regulation that support strengthening the IHR capacities implementation in the country. * Myanmar needs to continue the best practice of having cross border local MoU between Thailand and Myanmar. The practices should be continued with other neighboring countries. Objective To have sufficient national legislation, policy and framwork to support IHR implementation 47 1 To follow up the finaliza- Related Min- Discussion with (1) Meetings with responsible National approvement different points N ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 3 7 2 2 4,110,000 9,590,000 2,740,000 2,740,000 19,180,000 tion of draft laws in the istries for law responsible persons from Parliament, of laws by of view from re- 1,370,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = 5 - parliament and legislal- persons from Union Attorney General Office parliament source persons to + 5 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel tion and the Parliament, and other stakeholders on finalize the laws 250000 ( False) +20 costs participants away = 95000, Tea parliament Union Attorney other laws or legislations from * 1 * ( 15000False break = 10000, Stationary = 2500, Print General Office different areas for IHR + 10000True) + Dis = 60000, Printing costs = 0, Dissemi- and other stake- (14 times, 20 participants, 5 20 * 2500True ) * 1 nating costs = 0 holders. Away, estimated 2 times of +0+0 meeting for each laws and legislation) 2 Adovacy to stakeholders Related Instructions, laws (1) Development and printing National Nmber of IEC delayed aware- N 500*15000 + 50* 1 1 1 1 and Raising awareness Ministries and orders of of booklet, Pamphlets, posters, and material de- ness due to 35,000,000 50000 + 500* - 35,000,000 35,000,000 35,000,000 35,000,000 140,000,000 campaign about laws to for law and Government multi-media program on Sub-na- veloped and Language barrier, 5000+4500000 * 5 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) the public legislaltion laws/legislation tional produced conflict areas, low (published 15,000 copies of for inreased socio-economic laws, 50,000 pamplets, 5,000 awareness status, hard-to- Poster, 5 multimedia program) reach areas, cul- tures, customs Related Instructions, laws (2) Distribution of IEC National Nmber of Late arrival of IEC N 18*300000 1 1 1 1 Ministries and orders of materials and IEC material to very hard to 5,400,000 - 5,400,000 5,400,000 5,400,000 5,400,000 21,600,000 for law and Government Sub-na- distributed reach areas. legislaltion tional to relevant delayed aware- arears for ness due to for inreased Language barrier, awareness conflict areas, low socio-economic status, hard-to- reach areas, cul- tures, customs No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 3 Adovacy to stakeholders Related Instructions, laws (1) Advocacy meetings/ National Number of Tight schedules N ( 9000* (70 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 and Raising awareness Ministries and orders of workshop to Stakeholders at and Meeting for high level 6,385,000 *1 + 20 * 3 * 30000 = 70 Days = 1, Participants away = 20 - - - - 6,385,000 6,385,000 campaign about laws to for law and Government Cetral level Sub-na- done for official + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel the public legislaltion (70 particpants, 20 Away tional increased 250000 ( True) +70 costs participants away = 95000, Tea , 1 Day) awareness * 1 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 Related Instructions, laws (2) Advocacy meetings/ National Number of delayed aware- N ( 9000* (40 - 0 ) 1 Meeting : Per diem = 9000 Participants 17 Ministries and orders of workshop to Stakeholder at at and Meeting ness due to 950,000 *1 + 0 * 3 * 30000 = 40 Days = 1, Tea break = 10000, Sta- - - - - 16,150,000 16,150,000 for law and Government 17 States and Regions Sub-na- done for Language barrier, + 0 * 95000 + 1 * tionary = 2500, Print Dis = 40000, Print- legislaltion (40 particpants per meeting) tional increased conflict areas, low 250000 ( False) +40 ing costs = 0, Disseminating costs = 0 awareness socio-economic * 1 * ( 15000False status, hard-to- + 10000True) + reach areas, cul- 40 * 2500True ) * 1 tures, customs +0+0 - - - - - - 48 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL TECHNICAL AREA Prevention 2 Total IHR Coordination, Communication and Advocacy Estimated cost JEE Indicator P.2.1 A functional mechanism is established for the coordination and integration of relevant sectors in the implementation of IHR. (USD) JEE Scores 2 491,528.85 JEE recommendations * Establishment of an overarching cross government steering committee to oversee global health security activities through an all hazards approach. Total Estimated cost * Development of multi-sectoral, multidisciplinary coordination and communication mechanisms; and action plans through this overarching committee Total cost per year of implementation (Local currency) (Kyats) Objective 1. To establish the coordination and integration of relevant sectors to implement IHR 157,495,000 293,720,000 128,590,000 58,390,000 128,590,000 766,785,000 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Establishing Cross Government, Myanmar Action (1) Meeting on Establishment National Number of Staff turnover, N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 2 1 49 Government Steering related Plan for Disaster CGSC and TOR development of and Sub- Meetings chain of 4,125,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = 8,250,000 4,125,000 - - - 12,375,000 Committee (CGSC) to ministries Risk Reduction Overarching Cross Government national conducted. command, + 15 * 95000 + 1 * 15 Days away = 3 Diem away = 30000 oversee global health and other (MAPDRR), Steering Committee (CGSC) CGSC multi tasks 250000 ( True) +30 Travel costs participants away = 95000, security activities stakeholders Standing Order on (30 participants, Away 15, 1 devloped for simultaneously * 1 * ( 15000True Tea break = 10000, Lunch = 15000, (Comprehensive NAPHS) Natural Disaster Day for 3 times) Timeliness, + 10000True) + Stationary = 2500, Venue = 250000, through an all hazards Management in Readiness 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, approach Myanmar (2010), and Com- +0+0 Disseminating costs = 0 National strategic pleteness plan for influenza, IHR (2005) Government, Myanma Action (2) Capacity building Training National Number of Staff turnover, N ( 9000* (30 - 15 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 1 related Plan for Disaster CGSC TOR and funtioning and Sub- Meetings chain of 5,660,000 *2 + 15 * 4 * 30000 = 30 Days = 2, Participants away = 5,660,000 5,660,000 5,660,000 5,660,000 5,660,000 28,300,000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) ministries Risk Reduction mechanism for committee national conducted. command, + 15 * 95000 + 2 * 15 Days away = 4 Diem away = 30000 and other (MAPDRR), members and functional staff CGSC multi tasks 250000 ( True) +30 Travel costs participants away = 95000, stakeholders Standing Order on (30 participant, away 15, devloped for simultaneously * 2 * ( 15000True + Tea break = 10000, Lunch = 15000, Natural Disaster 2 days, 1 times per year for Timeliness, 10000True) + 30 Stationary = 2500, Venue = 250000, Management in 5 years) Readiness * 2500True ) * 1 + Printing costs = 90000, Disseminating Myanmar (2010), and Com- 90000 + 0 costs = 0 National strategic pleteness plan for influenza, IHR (2005) No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) Government, Myanma Action (3) Logistic supply (Internet, National Facilities, IT, Staff turnover, N 1 related Plan for Disaster Fax, Computer, Phone, Office and Sub- equipment chain of 190,700,000 - 190,700,000 - - - 190,700,000 ministries Risk Reduction (eg., EOC), vehicles., ect), national installed for command, and other (MAPDRR), running cost as per MOHS and Timeliness, multi tasks stakeholders Standing Order on WHO specification Readiness simultaneously Natural Disaster and Com- Management in pleteness Myanmar (2010), National strategic plan for influenza, IHR (2005) Government, Myanma Action (4) Coordination meeting National Number of Staff turnover, N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 3 3 3 3 3 related Plan for Disaster within relevant ministries on and Sub- meeting for chain of 4,125,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = 12,375,000 12,375,000 12,375,000 12,375,000 12,375,000 61,875,000 ministries Risk Reduction public health event or risk national public health command, + 15 * 95000 + 1 * 15 Days away = 3 Diem away = 30000 and other (MAPDRR), of national or international events or risk multi tasks 250000 ( True) +30 Travel costs participants away = 95000, stakeholders Standing Order on concern (Annually and ad-Hoc) done simultaneously * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Natural Disaster (30 participants, Away 15, 1 + 10000True) + Stationary = 2500, Venue = 250000, Management in Day, 3 times per year) 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, Myanmar (2010), +0+0 Disseminating costs = 0 National strategic plan for influenza, 50 IHR (2005) Government, IHR (2005), (5) Coordination meeting National Number of Staff turnover, N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 related Government on drafting, submission and and Sub- meeting chain of 4,125,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = - 8,250,000 8,250,000 8,250,000 8,250,000 33,000,000 ministries policie and approval of laws and policies national laws and command, + 15 * 95000 + 1 * 15 Days away = 3 Diem away = 30000 and other existing Laws (30 participants, Away 15, 1 policies multi tasks 250000 ( True) +30 Travel costs participants away = 95000, stakeholders Day, 2 times per year) approval simultaneously * 1 * ( 15000True Tea break = 10000, Lunch = 15000, or revision + 10000True) + Stationary = 2500, Venue = 250000, done 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, +0+0 Disseminating costs = 0 2 Developing Government, Government (1) Advocacy/Workshops National Number of Coordination, Y WHO ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 1 multi-sectoral, related policy, variety to multi-sectoral, and Sub- Meetings Cooperation, 8,085,000 *1 + 30 * 3 * 30000 Participants = 70 Days = 1, Participants 8,085,000 - - - - 8,085,000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) multidisciplinary ministries, of National multidisciplinary national for develop- Collaboration + 30 * 95000 + 1 * away = 30 Days away = 3 Diem away Comprehecsive steering Plans, IHR Comprehensive Country Joint ment Multi tasks and 250000 ( True) +70 = 30000 Travel costs participants away Country Joint Action committee (2005), existing Action Plan to implement IHR of NAPHS duties * 1 * ( 15000True = 95000, Tea break = 10000, Lunch Plan to implement and other communication for Health Security (NAPHS) + 10000True) + = 15000, Stationary = 2500, Venue = IHR for Health Security stakeholders channel and (70 participants per meeting, 70 * 2500True ) * 1 250000, Printing costs = 0, Disseminating (NAPHS) practices 35 away, for 1 days) +0+0 costs = 0 Government, Government (2) Development National Number of Coordination, Y WHO ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 related policy, variety workshop on multi- and Sub- workshop Cooperation, 7,310,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = 14,620,000 - - - - 14,620,000 ministries, of National sectoral, multidisciplinary national for develop- Collaboration + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 steering Plans, IHR Comprehensive Country Joint ment Multi tasks and 250000 ( True) +40 Travel costs participants away = 95000, committee (2005), existing Action Plan to implement IHR of NAPHS duties * 2 * ( 15000True Tea break = 10000, Lunch = 15000, and other communication for Health Security (NAPHS) + 10000True) + Stationary = 2500, Venue = 250000, stakeholders channel and (40 participants, Away 20, 2 40 * 2500True ) * 1 Printing costs = 0, Disseminating practices Day, 2 times ) +0+0 costs = 0 Government, Government (3) Hiring consultant for National Comprehen- Coordination, Y WHO 1 * 60 * (80000 + Number = 1 ; No of Days : 60 , Per diem = 1 related policy, variety development of multi- sive NAPHS Cooperation, 16,800,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 16,800,000 - - - - 16,800,000 ministries, of National sectoral, multidisciplinary developed Collaboration 16800000 steering Plans, IHR Comprehensive Country Joint Multi tasks and committee (2005), existing Action Plan to implement IHR duties and other communication for Health Security (NAPHS) stakeholders channel and (1 national consultant for practices 60 days) Government, Government (4) Finalization and National Number of Coordination, Y WHO ( 9000* (75 - 40 ) 1 Workshop : Per diem = 9000 1 related policy, variety Endorsement workshop and Sub- workshop Cooperation, 13,727,500 *2 + 40 * 4 * 30000 Participants = 75 Days = 2, Participants 13,727,500 - - - - 13,727,500 ministries, of National on multi-sectoral, national for develop- Collaboration + 40 * 95000 + 2 * away = 40 Days away = 4 Diem away steering Plans, IHR multidisciplinary ment Multi tasks and 250000 ( True) +75 = 30000 Travel costs participants away committee (2005), existing Comprehecsive Country Joint of NAPHS en- duties * 2 * ( 15000True = 95000, Tea break = 10000, Lunch and other communication Action Plan to implement IHR dorsement + 10000True) + = 15000, Stationary = 2500, Venue = stakeholders channel and for Health Security (NAPHS) 75 * 2500True ) * 1 250000, Printing costs = 0, Disseminating practices (75 participants per meeting, +0+0 costs = 0 40 away, for 2 days) Government, Government (5) Orientation and planning National Number of Coordination, Y WHO ( 9000* (75 - 40 ) 1 Workshop : Per diem = 9000 1 related policy, variety for implementation workshop and Sub- workshop for Cooperation, 13,727,500 *2 + 40 * 4 * 30000 Participants = 75 Days = 2, Participants 13,727,500 - - - - 13,727,500 ministries, of National on approved NAPHS by national preparation Collaboration + 40 * 95000 + 2 * away = 40 Days away = 4 Diem away steering Plans, IHR responsible technical lead of NAPHS Multi tasks and 250000 ( True) +75 = 30000 Travel costs participants away committee (2005), existing focals and stakeholders duties * 2 * ( 15000True = 95000, Tea break = 10000, Lunch and other communication (75 participants per meeting, + 10000True) + = 15000, Stationary = 2500, Venue = stakeholders channel and 40 away, for 2 days) 75 * 2500True ) * 1 250000, Printing costs = 0, Disseminating practices +0+0 costs = 0 Government, Government (6) Bi-Annual Evaluation and National Number of timeline, N ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 related policy, variety Coordination meeting on and Sub- Meetings for efficiency and 7,310,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = 7,310,000 7,310,000 7,310,000 7,310,000 7,310,000 36,550,000 51 ministries, of National current coprehensive NAPHS national evaluation effectiveness for + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 steering Plans, IHR for achievements, updates, and coor- planning and 250000 ( True) +40 Travel costs participants away = 95000, committee (2005), existing constraints, challenges and the dination of implementation * 2 * ( 15000True Tea break = 10000, Lunch = 15000, and other communication way forward/next action plan NAPHS of the plan. + 10000True) + Stationary = 2500, Venue = 250000, stakeholders channel and (50 participants, Away 20, 2 40 * 2500True ) * 1 Printing costs = 0, Disseminating practices Day, 1 times per year) +0+0 costs = 0 Government, Government (7) Annual Evaluation, National Number of timeline, N ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 related policy, variety Coordination and NAPHS and Sub- Meetings for efficiency and 8,025,000 *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 8,025,000 8,025,000 8,025,000 8,025,000 8,025,000 40,125,000 ministries, of National activities, budget Review, national evaluation effectiveness for + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 steering Plans, IHR revision meeting/workshop on and coor- planning and 250000 ( True) +50 Travel costs participants away = 95000, committee (2005), existing (a) current coprehensive dination of implementation * 2 * ( 15000True Tea break = 10000, Lunch = 15000, and other communication NAPHS for achievements, NAPHS of the plan. + 10000True) + Stationary = 2500, Venue = 250000, NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) stakeholders channel and updates, constraints, Number of 50 * 2500True ) * 1 Printing costs = 0, Disseminating practices challenges and the way times review +0+0 costs = 0 forward/next action plan and revision (b) Review and Revision NAPHS Comprehensive NAPHS activities and budget plans (50 participants, Away 20, 3 Day, 1 times per year) No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 3 Developing Government, Government (1) Workshops to develop National Number of timeline, Y WB (under ( 9000* (30 - 5 ) 1 Meeting : Per diem = 9000 Participants 3 2 multi-sectoral, related policy, variety Multi-Sectoral mechanisms and Sub- Meetings efficiency and discussion) 2,365,000 *1 + 5 * 3 * 30000 = 30 Days = 1, Participants away = 7,095,000 4,730,000 - - - 11,825,000 multidisciplinary ministries, of National and action plan national for develop- effectiveness for + 5 * 95000 + 1 * 5 Days away = 3 Diem away = 30000 coordination and steering Plans, IHR (30 participants, Away 5, ment planning and 250000 ( True) +30 Travel costs participants away = 95000, communication committee (2005), existing 1 Day) Mechanism implementation * 1 * ( 15000True Tea break = 10000, Lunch = 15000, mechanisms and and other communication and Action of the plan. + 10000True) + Stationary = 2500, Venue = 250000, joint action plan for stakeholders channel and Plan devel- 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, mechanisms practices oped for +0+0 Disseminating costs = 0 reducing Mobidity and Mortality Government, Government (2) Test or drill or simulation National Number of timeline, Y WB (under ( 9000* (30 - 5 ) 1 Meeting : Per diem = 9000 Participants 4 4 4 4 4 related policy, variety exercises on action plan for and Sub- exercises for efficiency and discussion) 2,365,000 *1 + 5 * 3 * 30000 = 30 Days = 1, Participants away = 9,460,000 9,460,000 9,460,000 9,460,000 9,460,000 47,300,000 ministries, of National mechanism national function- effectiveness for + 5 * 95000 + 1 * 5 Days away = 3 Diem away = 30000 steering Plans, IHR (30 participants, Away 5, 1 ing of planning and 250000 ( True) +30 Travel costs participants away = 95000, committee (2005), existing Day, 2 different places, 2 times Mechanism implementation * 1 * ( 15000True Tea break = 10000, Lunch = 15000, and other communication per year for 5 year) and Action of the plan. + 10000True) + Stationary = 2500, Venue = 250000, stakeholders channel and Plan devel- 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, practices oped for +0+0 Disseminating costs = 0 reducing Mobidity and 52 Mortality Government, Government (3) Annual Evaluation meeting National Number of timeline, Y WB (under ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 related policy, variety on current action plan for and Sub- Meetings for efficiency and discussion) 7,310,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = 7,310,000 7,310,000 7,310,000 7,310,000 7,310,000 36,550,000 ministries, of National mechanism national functioning effectiveness for + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 steering Plans, IHR (40 participants, Away 20, 2 and revision planning and 250000 ( True) +40 Travel costs participants away = 95000, committee (2005), existing Day, 1 times per year) Mechanism implementation * 2 * ( 15000True Tea break = 10000, Lunch = 15000, and other communication This activity will be and its' of the plan. + 10000True) + Stationary = 2500, Venue = 250000, stakeholders channel and incoperated or extended Action Plan 40 * 2500True ) * 1 Printing costs = 0, Disseminating practices with activity P 2.1.4.4 and developed +0+0 costs = 0 maybe with P.2.1.2.7 for reducing Mobidity and Mortality NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 4 SOPs or TOR CEU, IRD IHR (2005), (1) Hiring consultant for National SOPs or TOR In place practical N 1 * 60 * (80000 + Number = 1 ; No of Days : 60 , Per diem = 1 development for Government development of SoP or TOR established use of SOP 16,800,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 16,800,000 - - - - 16,800,000 coordination between policy coordination mechanism 16800000 IHR Focal point and between IHR National Focal other relevent sectors Point (NFP) and other sectors, (including review and stakeholders revise of existing SOPs (1 national consultant for and guidelines) 60 days) CEU, IRD IHR (2005), (2) Meetings/workshop to National SOPs or TOR In place practical N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 2 2 Government develop SOPs established use of SOP 4,125,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = 8,250,000 8,250,000 - - - 16,500,000 policy (30 participants, Away 15, 1 + 15 * 95000 + 1 * 15 Days away = 3 Diem away = 30000 Day, 2 times) 250000 ( True) +30 Travel costs participants away = 95000, * 1 * ( 15000True Tea break = 10000, Lunch = 15000, + 10000True) + Stationary = 2500, Venue = 250000, 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, +0+0 Disseminating costs = 0 CEU, IRD IHR (2005), (3) Finalization workshop National SOPs or TOR In place practical N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 Government of SOPs from draft the SOPs established use of SOP 4,125,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = - 4,125,000 - - - 4,125,000 policy (sharing information, function + 15 * 95000 + 1 * 15 Days away = 3 Diem away = 30000 of IHR NFP, etc) 250000 ( True) +30 Travel costs participants away = 95000, (30 participants, Away 15, 1 * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Day, 1 times) + 10000True) + Stationary = 2500, Venue = 250000, 30 * 2500True ) * 1 Print Dis = 90000, Printing costs = 0, +0+0 Disseminating costs = 0 CEU, IRD IHR (2005), 4. Meeting on evaluation National SOPs or TOR In place practical N ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants Government of the functions of IHR NFP established use of SOP 7,310,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = - - - - - - policy (SOPs) + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 (40 participants, Away 20, 2 250000 ( True) +40 Travel costs participants away = 95000, Day, 1 times per year, starting * 2 * ( 15000True Tea break = 10000, Lunch = 15000, sfrom 2019) + 10000True) + Stationary = 2500, Venue = 250000, Conducting this actvity will 40 * 2500True ) * 1 Printing costs = 0, Disseminating be incoperated or extended +0+0 costs = 0 with activity P 2.1.3.3 and maybe with P.2.1.2.7 in IHR Coordination plan. 5 Developing Monitoring, CEU, MoHS Existing progress (1) Development of M & E National Number timeline, Y WHO/WB / Lumpsum Lumpsum 1 53 Evaluation frame work monitoring sheet, framwork and Tools and of tools, efficiency and ADB 23,400,000 - 23,400,000 - - - 23,400,000 and tools to oversee Annual Assement Meetings effectiveness for progress of NAPHS report and JEE and Conducted planning and Operations NAPHS plan implementation of the plan. Existing progress (2) Mid term Evaluation on National Number of timeline, Y WHO/WB / Lumpsum Lumpsum 1 monitoring sheet, NAPHS Operation in line with and Sub- evaluation efficiency and ADB 70,200,000 - - 70,200,000 - - 70,200,000 Annual Assement assessing core capacities of IHR national and reports effectiveness for report and JEE and finished planning and NAPHS plan implementation of the plan. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Existing progress (3) End line Evaluation on National Number of timeline, Y WHO/WB / Lumpsum Lumpsum 1 monitoring sheet, NAPHS Operation in line with and Sub- evaluation efficiency and ADB 70,200,000 - - - - 70,200,000 70,200,000 Annual Assement assessing core capacities of IHR national and reports effectiveness for report and JEE and finished planning and NAPHS plan implementation of the plan. - - - - - - MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL Total TECHNICAL AREA Prevention 3 Antimicrobial Resistant Estimated cost JEE Indicator P.3.1 Antimicrobial resistance (AMR) detection (USD) JEE Scores 3 5,399,801.47 JEE recommendations * Raise awareness among the general public on AMR and among health care workers in human and animal health sectors on surveillance, prudent use of Total Estimated cost antimicrobials and the importance of good practices Total cost per year of implementation (Local * Increase laboratory capacity on AMR, both in the human and animal health sector and share AMR data across the sectors currency) * Cooperate in a One Health approach between sectors at local, regional and national levels on AMR (Kyats) Objective To strengthen the AMR detection for both human and animal sectors 1,332,753,940 1,933,587,640 1,732,157,840 1,712,595,440 1,712,595,440 8,423,690,300 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 To sustain the quality MoHS, MoA- National actionl (1) To provide TOT and refresh- National Budget and tight N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 54 and services of laborato- LI, Ministry of plan for AMR er training to improve the Number of duties and activ- 6,110,000 *3 + 15 * 5 * 30000 = 20 Days = 3, Participants away = 15 12,220,000 12,220,000 12,220,000 12,220,000 12,220,000 61,100,000 ries that are able to de- Defence capacity of staff to do detect staff trained ities by trainers + 15 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel tect and report priority the priority AMR pathogen in and trainings and tranees. 250000 ( True) +20 costs participants away = 95000, Tea AMR pathogen aligned country (human health) done * 3 * ( 15000True break = 10000, Lunch = 15000, Station- with the Global AMR (Participants = 20, Partici- + 10000True) + ary = 2500, Venue = 250000, Printing Surveillance System pants away = 15, Days = 3, 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 GLASS (for existing nealy two times per year for 5 year) +0+0 25 laboratories) LBVD, NHL (2) To provide TOT and refresh- Budget and tight N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 er training to improve the Number of duties and activ- 6,110,000 *3 + 15 * 5 * 30000 = 20 Days = 3, Participants away = 15 12,220,000 12,220,000 12,220,000 12,220,000 12,220,000 61,100,000 capacity of staff to do detect staff trained ities by trainers + 15 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel the priority AMR pathogen in and trainings and tranees. 250000 ( True) +20 costs participants away = 95000, Tea NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) country ( veterinary health) done * 3 * ( 15000True break = 10000, Lunch = 15000, Station- (Participants = 20, Partici- + 10000True) + ary = 2500, Venue = 250000, Printing pants away = 15, Days = 3, 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 two times per year for 5 year) +0+0 Multipllier trainings for staff from veterinary health are included in Activities of Zoonotic Dis- ease areas. (3) Capcity buidling on AMR Number of Budget and tight N (1000+4000+2800) 2 2 2 2 detection of lab profession- Professional duties and activ- 10,296,000 USD*1320 MMK - 20,592,000 20,592,000 20,592,000 20,592,000 82,368,000 als through international attended ities by trainers programme eg., fellowship for AMR and tranees. (human health) detection (Travel cost 1000USD, Tuition International 4,000 USD, Perdiem and fellowship accomodation 2,800 USD, for 2 Program weeks, 2 people per year) (4) Capcity buidling on AMR Number of Budget and tight N (1000+4000+2800) 2 2 2 2 detection of lab profession- Professional duties and activ- 10,296,000 USD*1320 MMK - 20,592,000 20,592,000 20,592,000 20,592,000 82,368,000 als through international attended ities by trainers programme eg., fellowship for AMR and tranees. (veterinary health) detection (Travel cost 1000USD, Tuition International 4,000 USD, Perdiem and fellowship accomodation 2,800 USD, for 2 Program weeks, 2 people per year) (5) To procure the necessary Number of Budget N 1 1 1 1 1 laboratory materials and Laboratory 1,027,490,000 1,027,490,000 1,027,490,000 1,027,490,000 1,027,490,000 1,027,490,000 5,137,450,000 equipments, Automatic Materials, Identification and Sensitivity equipment Detection of Microorganism and VITEK 2 (VITEK 2) compact machine) procured 25 laboratories (6) To support the logistics Number Budget N 2 2 2 2 2 (sample preparation, trans- of sample 2,500,000 5,000,000 5,000,000 5,000,000 5,000,000 5,000,000 25,000,000 port, testing) to sustain the trasnported 55 NEQAS for AMR detection NEQAS (7) Monitoring, supervision & Number of Budget N 2 * 3 * 31000 + 1 * 10 10 10 10 10 Evaluation visits to S/R hospi- M & E visit 850,000 132000 * 3 = 850000 8,500,000 8,500,000 8,500,000 8,500,000 8,500,000 42,500,000 tals (human health) coundcuted 2 supervisors * 3days /visit * 5 years (8) Monitoring, supervision & Number of Budget N 2 * 3 * 31000 + 1 * 2 2 2 2 2 Evaluation visits to townships M & E visit 850,000 132000 * 3 = 850000 1,700,000 1,700,000 1,700,000 1,700,000 1,700,000 8,500,000 (veterinary health) coundcuted NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 2 supervisors * 3 days per visit * 2 times per year * 5 year (9) To provide participation National Increase Training &Techan- Y WHO 1 2 2 2 2 fees for PHL (Mandalay) and number ical assistance 6,600,000 6,600,000 13,200,000 13,200,000 13,200,000 13,200,000 59,400,000 NHL (Yangon) to enroll at participating National I H- Thialand for laboratories International External Quality NEQAS & Assurance System (IEQAS) IEQAS Participation in NEQAS and IEQAS done JEE Indicator P.3.2 “Surveillance of infections caused by antimicrobial-resistant pathogens JEE Scores 3 JEE recommendations * Raise awareness among the general public on AMR and among health care workers in human and animal health sectors on surveillance, prudent use of antimicrobials and the importance of good practices * Increase laboratory capacity on AMR, both in the human and animal health sector and share AMR data across the sectors * Cooperate in a One Health approach between sectors at local, regional and national levels on AMR Objective To strengthen the AMR detection for both human and animal sectors No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 To develop surveil- MoHS, MoALI (1) Hiring of international Con- National Antibiotic avaialbility of N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 2 1 lance system for sultant for Technical assistance stewardship Training &Techan- 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 39,124,800 19,562,400 - - 58,687,200 usage of antimicrobial from WHO or other technical programme ical assistance 1 * 1584000 = = 1584000 in human and animal agencies for Development (antibiotic Budget 19562400 sectors of Antibiotic stewardship usage) programme (antibiotic us- and trainin age) and trainin Module Module (one international consul- developed tant 20 working days/visit * 3 visits) 56 (2) Stakeholders Workshop/ National Antibiotic N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 meeting on Development stewardship 9,935,000 *2 + 30 * 4 * 30000 pants = 50 Days = 2, Participants away - 9,935,000 - - - 9,935,000 of Antibiotic stewardship programme + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 programme (antibiotic usage) (antibiotic 250000 ( True) +50 Travel costs participants away = 95000, and trainin Module usage) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- (50 participants per meeting, and trainin + 10000True) + tionary = 2500, Venue = 250000, Printing 35 away, for 2 days) Module was 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 done +0+0 (3) Dessimination workshop/ National Dessimi- N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 meeting for Antibiotic stew- nation on 8,085,000 *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away - 8,085,000 - - - 8,085,000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) ardship programme (antibiotic Antibiotic + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 usage) and trainin Module stewardship 250000 ( True) +70 Travel costs participants away = 95000, (70 participants per meeting, programme * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- 35 away, for 1 days) (antibiotic + 10000True) + tionary = 2500, Venue = 250000, Printing usage) work- 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 shop done +0+0 (4) Capcity building Training National Number of N ( 9000* (30 - 20 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 on Antibiotic stewardship training 8,245,000 *3 + 20 * 5 * 30000 = 30 Days = 3, Participants away = 20 - 16,490,000 16,490,000 16,490,000 16,490,000 65,960,000 programme (antibiotic Number of + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel usage) Staff trained 250000 ( True) +30 costs participants away = 95000, Tea (50 participants, 30 away, * 3 * ( 15000True break = 10000, Lunch = 15000, Station- for 3 days, 2 times per Year + 10000True) + ary = 2500, Venue = 250000, Printing for 5 Year) 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 2 Strengthen WHONET (1) Hiring International Con- National Consultant avaialbility of N 1 * 7 * (238920 Number = 1 ; No of Days : 7 , Per diem 1 1 1 1 1 data analysis sultant for Technical assistance for WHONET Training &Techan- 7,876,440 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel 7,876,440 7,876,440 7,876,440 7,876,440 7,876,440 39,382,200 from WHO or other technical training ical assistance 1584000 = 7876440 = 1584000 agencie to support WHONET hired Budget and training (1 international consultant 7 working days/visit *1 visits) (2) Training on WHONET for National Number of N ( 9000* (25 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 laboratory Staff training 6,202,500 *2 + 20 * 4 * 30000 = 25 Days = 2, Participants away = 20 - 12,405,000 12,405,000 12,405,000 12,405,000 49,620,000 (25 participants, 20 away, Number of + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel for 2 days, 2 times per Year Staff trained 250000 ( True) +25 costs participants away = 95000, Tea for 5 Year) * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NHL- MOHS, NAPAMR (3) Development of infrasturc- National IT equipment N 1 1 1 1 1 ture, IT equipments, internet and facilities 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 33,000,000 165,000,000 facilities at each 25 labortory fixed. For WHONET (USD 25,000- Laboratories 1000 USD per laboratory) with WHONET functioning NHL- MOHS, NAPAMR (4) Assignment of data assis- National IT equipment Finding appropri- N 330000*1826 26 26 26 26 tant for WHONET at each 25 and facilities ate staff 330,000 - 8,580,000 8,580,000 8,580,000 8,580,000 34,320,000 labortory and 1 NHL fixed. (250 USD for each data assis- Laboratories tant for 26) with WHONET 57 functioning NHL- MOHS, (5) Annual meeting with NHL, National Number Y WHO ( 9000* (50 - 35 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 clinicians & lab from WHONET of annual 8,235,000 *1 + 35 * 3 * 30000 = 50 Days = 1, Participants away = 35 - 8,235,000 8,235,000 8,235,000 8,235,000 32,940,000 implementing laboratories, meeting + 35 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel veterinary sector and other done 250000 ( True) +50 costs participants away = 95000, Tea stakeholders * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (50 participants, Aaway 35, 1 + 10000True) + ary = 2500, Venue = 250000, Printing day meeting, 1 time per year 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 for 5 year) +0+0 JEE Indicator P.3.3 Health care-associated infection (HCAI) prevention and control programs NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) JEE Scores 1 JEE recommendations * Raise awareness among the general public on AMR and among health care workers in human and animal health sectors on surveillance, prudent use of antimicrobials and the importance of good practices * Increase laboratory capacity on AMR, both in the human and animal health sector and share AMR data across the sectors * Cooperate in a One Health approach between sectors at local, regional and national levels on AMR Objective To estabish national guideline for AMR prevention and control. 1 prevention and control NHL- MOHS, Trainings conduct- (1) Workshop/trainings on Number avaialbility of N ( 9000* (50 - 35 ) 1 Workshop : Per diem = 9000 Partici- 3 2 2 2 2 program ing for prevention Infection prevention con- of training Training &Techan- 16,290,000 *4 + 35 * 6 * 30000 pants = 50 Days = 4, Participants away 48,870,000 32,580,000 32,580,000 32,580,000 32,580,000 179,190,000 Workshop on IPC and control trol for laboratory and clinical done and ical assistance + 35 * 95000 + 4 * = 35 Days away = 6 Diem away = 30000 infection management number Budget 250000 ( True) +50 Travel costs participants away = 95000, (30 participants, away 20 for 4 trained staff * 4 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- days training, 2 times per year + 10000True) + tionary = 2500, Venue = 250000, Printing for 5 year) 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 2 Healthcare associated NHL- MOHS, Trainings conduct- (1) Hiring International Con- HCAI avaialbility of N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 1 infection (HCAI) preven- ing for prevention sultant for Technical assistance surveillance Training &Techan- 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 19,562,400 - - - 19,562,400 tion and control program and control from WHO or other technical guidelines ical assistance 1 * 1584000 = = 1584000 To implement according infection agenciefor development of developed Budget 19562400 to the Hospital infection HCAI surveillance guideline prevention and control including training Modules program in NAP for AMR (1 international consultant 20 working days/visit *1 visits) (2) Stakeholders Workshop/ National HCAI N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 meeting on development of surveillance 9,935,000 *2 + 30 * 4 * 30000 pants = 50 Days = 2, Participants away - 9,935,000 - - - 9,935,000 HCAI surveillance guideline guideline + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 and trainin Module and training 250000 ( True) +50 Travel costs participants away = 95000, (50 participants per meeting, Modules * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- 30 away, for 2 days) developed + 10000True) + tionary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (3) Dessimination workshop/ National Dessimina- N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 meeting for HCAI surveillance tion wrok- 8,085,000 *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away - 8,085,000 - - - 8,085,000 guideline and trainin Module shop on HCAI + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 58 (70 participants per meeting, surveillance 250000 ( True) +70 Travel costs participants away = 95000, 30 away, for 1 days) guideline * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- and training + 10000True) + tionary = 2500, Venue = 250000, Printing Modules was 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 done +0+0 (4) Training on HCAI surveil- Number N ( 9000* (25 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 lance for laboratories and of training 9,462,500 *5 + 15 * 7 * 30000 = 25 Days = 5, Participants away = 15 - 18,925,000 18,925,000 18,925,000 18,925,000 75,700,000 medical care staff done and + 15 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel (25 participants, away 15, 2 number 250000 ( True) +25 costs participants away = 95000, Tea times per year for 5 days) trained staff * 5 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) +0+0 JEE Indicator P.3.4 “Antimicrobial stewardship activities JEE Scores 1 JEE recommendations * Raise awareness among the general public on AMR and among health care workers in human and animal health sectors on surveillance, prudent use of antimicrobials and the importance of good practices * Increase laboratory capacity on AMR, both in the human and animal health sector and share AMR data across the sectors * Cooperate in a One Health approach between sectors at local, regional and national levels on AMR Objective To estabish national guideline for AMR prevention and control. 1 To achive regular MoHS, National action (1) Bi-Annual National Multi National Number of Implementation N ( 9000* (30 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 2 monitoring by national MoALI, MoE, plan for AMR Secotorial Steering Committee Meeting of Stewardship 4,865,000 *1 + 20 * 3 * 30000 = 30 Days = 1, Participants away = 20 9,730,000 9,730,000 9,730,000 9,730,000 9,730,000 48,650,000 steering committee Ministry of (NMSC) coordination meet- done activity in Hospi- + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel for AMR and technical Information, ings for TOR for tal (LIMS) 250000 ( True) +30 costs participants away = 95000, Tea working groups for Ministry of To share updates and improve NMSC & TWG regular partici- * 1 * ( 15000True break = 10000, Lunch = 15000, Station- better coordination and Industry, mechanism and submit it to developed pation by each + 10000True) + ary = 2500, Venue = 250000, Printing implementation of plan Ministry of the ministry in first year member 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 against each objectives Home Affair, To have regular coordination +0+0 Ministry of and collaboration Defence (30 participants, Away 20, 1 Day, 2 times per year for 5 year) MoHS, National action (2a) AMR (National Action National Number of Tight schedule by N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 2 2 2 2 MoALI, MoE, plan for AMR Plan for AMR) on Awareness TWG meet- participants 8,677,500 *2 + 25 * 4 * 30000 = 35 Days = 2, Participants away = 25 8,677,500 17,355,000 17,355,000 17,355,000 17,355,000 78,097,500 Ministry of TWG coordination meeting ing done Budget + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Information, To share updates and improve Number of 250000 ( True) +35 costs participants away = 95000, Tea Ministry of mechanism and submit it to participants * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Industry, the ministry in first year attended + 10000True) + ary = 2500, Venue = 250000, Printing 59 Ministry of To have regular coordination 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 Home Affair, and collaboration discuss an- +0+0 Ministry of nual work plan and progress Defence Total 70 participants (35 from government officials, 25 away, 35 from gencies and organiza- tion, 2 days, 2 times per year for 5 years) NHL- MOHS, (2b) AMR (National Action National Number of Tight schedule by N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 2 2 2 2 Plan for AMR) on Surveil- TWG meet- participants 8,677,500 *2 + 25 * 4 * 30000 = 35 Days = 2, Participants away = 25 8,677,500 17,355,000 17,355,000 17,355,000 17,355,000 78,097,500 lance TWG coordination ing done Budget + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) meeting Number of 250000 ( True) +35 costs participants away = 95000, Tea To share updates and improve participants * 2 * ( 15000True break = 10000, Lunch = 15000, Station- mechanism and submit it to attended + 10000True) + ary = 2500, Venue = 250000, Printing the ministry in first year 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 To have regular coordination +0+0 and collaboration discuss an- nual work plan and progress Total 70 participants (35 from government officials, 25 away, 35 from gencies and organiza- tion, 2 days, 2 times per year for 5 years) No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) NHL- MOHS, (2c) AMR (National Action National Number of Tight schedule by N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 2 2 2 2 Plan for AMR) on IPC TWG TWG meet- participants 8,677,500 *2 + 25 * 4 * 30000 = 35 Days = 2, Participants away = 25 8,677,500 17,355,000 17,355,000 17,355,000 17,355,000 78,097,500 coordination meeting ing done Budget + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel To share updates and improve Number of 250000 ( True) +35 costs participants away = 95000, Tea mechanism and submit it to participants * 2 * ( 15000True break = 10000, Lunch = 15000, Station- the ministry in first year attended + 10000True) + ary = 2500, Venue = 250000, Printing To have regular coordination 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 and collaboration discuss an- +0+0 nual work plan and progress Total 70 participants (35 from government officials, 25 away, 35 from gencies and organiza- tion, 2 days, 2 times per year for 5 years) NHL- MOHS, (2d) AMR (National Action National Number of Tight schedule by N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 2 2 2 2 Plan for AMR) on Antimicro- TWG meet- participants 8,677,500 *2 + 25 * 4 * 30000 = 35 Days = 2, Participants away = 25 8,677,500 17,355,000 17,355,000 17,355,000 17,355,000 78,097,500 bial Usage TWG coordination ing done Budget + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel meeting Number of 250000 ( True) +35 costs participants away = 95000, Tea To share updates and improve participants * 2 * ( 15000True break = 10000, Lunch = 15000, Station- mechanism and submit it to attended + 10000True) + ary = 2500, Venue = 250000, Printing 60 the ministry in first year 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 To have regular coordination +0+0 and collaboration discuss an- nual work plan and progress Total 70 participants (35 from government officials, 25 away, 35 from gencies and organiza- tion, 2 days, 2 times per year for 5 years) NHL- MOHS, (2e) AMR (National Action National Number of Tight schedule by N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 2 2 2 2 Plan for AMR) on Research TWG meet- participants 8,677,500 *2 + 25 * 4 * 30000 = 35 Days = 2, Participants away = 25 8,677,500 17,355,000 17,355,000 17,355,000 17,355,000 78,097,500 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Innovaiton TWG coordination ing done Budget + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel meeting Number of 250000 ( True) +35 costs participants away = 95000, Tea To share updates and improve participants * 2 * ( 15000True break = 10000, Lunch = 15000, Station- mechanism and submit it to attended + 10000True) + ary = 2500, Venue = 250000, Printing the ministry in first year 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 To have regular coordination +0+0 and collaboration discuss an- nual work plan and progress Total 70 participants (35 from government officials, 25 away, 35 from agencies and organi- zation, 2 days, 2 times per year for 5 years) 2 Establish an evi- MoHS, National actionl (1) Communication campaign National Number of Political commit- N ( 9000* (100 - 40 ) 1 Meeting : Per diem = 9000 Participants 6 18 18 18 18 dence-based public MoALI, MoE, plan for AMR for antibiotic awareness & sub-na- Awareness ment & communi- 17,540,000 *1 + 40 * 3 * 30000 = 100 Days = 1, Participants away = 105,240,000 315,720,000 315,720,000 315,720,000 315,720,000 1,368,120,000 communications Ministry of improvement by MoHS and tional Campaign ty participation + 40 * 95000 + 1 * 40 Days away = 3 Diem away = 30000 programme targeting Information MoALI at central level and 17 was done 250000 ( True) +100 Travel costs participants away = 95000, audiences in policy states and Regions * 1 * ( 15000True + Tea break = 10000, Lunch = 15000, making, human and (100 participants, Away 10000True) + 100 Stationary = 2500, Venue = 250000, animal health practice, 40, 1 day, * 2500True ) * 1 + Printing costs = 5000000, Disseminating the general public and Printing & dessimination - 5000000 + 1600000 costs = 1600000 professional on prudent 6,600,000 MMK) use of antimicrobials MoHS, (2) Adovacacy Workshop National Number of Budget N ( 9000* (50 - 35 ) 1 Workshop : Per diem = 9000 Partici- 1 MoALI, on integration of AMR in to workshop 10,920,000 *2 + 35 * 4 * 30000 pants = 50 Days = 2, Participants away 10,920,000 - - - - 10,920,000 undergraduate and post-grad- done + 35 * 95000 + 2 * = 35 Days away = 4 Diem away = 30000 uated curriculum to 250000 ( True) +50 Travel costs participants away = 95000, (50 participants, Away 35, 1 * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- day for 1 times) + 10000True) + tionary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 MoHS, (3) Workshop on Development National Number of Budget N ( 9000* (50 - 35 ) 1 Workshop : Per diem = 9000 Partici- 2 MoALI, of therapeutic guidelines workshop 8,235,000 *1 + 35 * 3 * 30000 pants = 50 Days = 1, Participants away - 16,470,000 - - - 16,470,000 for four major subjects (Sur- done + 35 * 95000 + 1 * = 35 Days away = 3 Diem away = 30000 gery, Medicine, Obstetric and 250000 ( True) +50 Travel costs participants away = 95000, Gynecology and orthopedic, * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- Pediatric) and veterinary + 10000True) + tionary = 2500, Venue = 250000, Printing (50 participants, Aaway 35, 1 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 day for 3 times) +0+0 61 3 Surveillance of irrational MoHS, (1) Hiring of International Strong and N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 3 usage of antibiotics MoALI, Counsultant for Technical interest acedamic 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 58,687,200 - - - 58,687,200 among clinical practices assistance from WHO or other and professional 1 * 1584000 = = 1584000 technical agencie to establish inputs 19562400 surveillance of irrational usage of antibiotics among clinical practices and training modules (1 international consultant 20 working days, visit 3) MoHS, (2) Stakeholders Workshop/ National Surveillance Strong and N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MoALI, meeting on surveillance of of irrational interest acedamic 9,935,000 *2 + 30 * 4 * 30000 pants = 50 Days = 2, Participants away - 9,935,000 - - - 9,935,000 irrational usage of antibiotics usage of and professional + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 among clinical practices and antibiotics inputs 250000 ( True) +50 Travel costs participants away = 95000, training modules was done * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- (50 participants per meeting, + 10000True) + tionary = 2500, Venue = 250000, Printing 35 away, for 2 days) 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 MoHS, (3) Dessimination workshop/ National Surveillance Strong and N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 MoALI, meeting for surveillance of of irrational interest acedamic 8,085,000 *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away - 8,085,000 - - - 8,085,000 irrational usage of antibiotics usage of and professional + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 among clinical practices and antibiotics inputs 250000 ( True) +70 Travel costs participants away = 95000, training modules was done * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- (70 participants per meeting, + 10000True) + tionary = 2500, Venue = 250000, Printing 35 away, for 2 days) 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local curren- actions) for Imple- Programe or on be imple- ing and (govern- cy) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) MoHS, (4) Training on surveillance Number Strong and N ( 9000* (25 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 MoALI, of irrational usage of of training interest acedamic 9,462,500 *5 + 15 * 7 * 30000 = 25 Days = 5, Participants away = 15 - 18,925,000 18,925,000 18,925,000 18,925,000 75,700,000 antibiotics among clinical done and and professional + 15 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel practices for laboratories and number inputs 250000 ( True) +25 costs participants away = 95000, Tea medical care staff trained staff * 5 * ( 15000True break = 10000, Lunch = 15000, Station- (25 participants, away 15, 2 + 10000True) + ary = 2500, Venue = 250000, Printing times per year for 5 days) 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 4 Control of human and MoHS, (1) Hiring of International Biosafetly Weakness in Bio- N 1 * 15 * (238920 Number = 1 ; No of Days : 15 , Per diem 1 veterinary use of antimi- MoALI, Consultant for Formulating and safety & Biorisk 15,067,800 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 15,067,800 - - - 15,067,800 crobial substance Regulatory Framework biosecurity management and 1 * 1584000 = = 1584000 for control of Human and legistlaiton/ practices 15067800 Veterinary use of antimi- lawformu- crobial substances, lated (1 international consultant, 15 working days, visit 1) NHL, MoHS, (2) Stakeholders Workshop/ National Comprehen- N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 LBVD meeting on control of Human sive national 9,935,000 *2 + 30 * 4 * 30000 pants = 50 Days = 2, Participants away - 9,935,000 - - - 9,935,000 and Veterinary use of antimi- biosafety + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 crobial substances, and bi- 250000 ( True) +50 Travel costs participants away = 95000, 62 (50 participants per meeting, osecuirty * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- 35 away, for 2 days) legislation + 10000True) + tionary = 2500, Venue = 250000, Printing was done 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NHL, MoHS, Other laws/legis- (4) laws/legislaton approval Naypyitaw Biosafetly time will take N ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 1 LBVD lation approval from Union Parliament (Dis- and biose- place 1,370,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = 5 - cussion and defense for law curity legist- + 5 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel in Meetings with responsible laiton/law 250000 ( False) +20 costs participants away = 95000, Tea persons from Parliament, approved * 1 * ( 15000False break = 10000, Stationary = 2500, Print Union Attorney General Office + 10000True) + Dis = 60000, Printing costs = 0, Dissemi- and other stakeholders (5 20 * 2500True ) * 1 nating costs = 0 times 20 participants) +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) This activity will be inco- perated with Ligislation area activity P.1.2.2.1) NHL, MoHS, (5) one dessimination work- National Comprehen- N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 LBVD shop/meeting for control of sive national 8,085,000 *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away - 8,085,000 - - - 8,085,000 Human and Veterinary use of biosafety + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 antimicrobial substances, and bi- 250000 ( True) +70 Travel costs participants away = 95000, (70 participants per meeting, osecuirty * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- 35 away, for 2 days) legislation + 10000True) + tionary = 2500, Venue = 250000, Printing was done 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 5 Strengthen National MoHS, National actionl (1) Coordination meeting on National Regulation Difficult in placing N ( 9000* (50 - 35 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 Regulatory Agency MoALI, plan for AMR regulations and quality and checklist practices 10,920,000 *2 + 35 * 4 * 30000 = 50 Days = 2, Participants away = 35 - 21,840,000 21,840,000 21,840,000 21,840,000 87,360,000 (NRA) or Drug Regulato- checklists for Antimicro- developed + 35 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel ry Agency (DRA) bials agents( AMAs), Active 250000 ( True) +50 costs participants away = 95000, Tea Pharmaceutical Ingredients * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (API) and Over the counter + 10000True) + ary = 2500, Venue = 250000, Printing (OTC) sales. 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (50 participants, Away 35, +0+0 2 days, 2 times per year for 5 Year) - - - - - - 63 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL Surveillance system in place for priortized zoonotic diseases Total TECHNICAL AREA Prevention 4 Zoonotic Disease Estimated cost JEE Indicator P.4.1 Surveillance systems in place for priority zoonotic diseases/pathogens (USD) JEE Scores 3 20,652,080.45 JEE recommendations *Endorse and implement the national OH strategic framework and action plan of Myanmar (2016-2019) Total Estimated cost Total cost per year of implementation (Local currency) (Kyats) Objective To develop effective surveillance system for priortize zoonotic diseases with One Health approach 4,374,560,700 6,926,042,301 6,506,187,500 6,516,517,500 7,893,937,500 32,217,245,501 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Development of One MoHS,MoALI, OH strategic frame (1) Hiring of International National National One effective im- N Devel- 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 64 Health (OH) planning MoNREC wrok (Drafted) Expert for reviewing and final- Health Stra- plementation, opment 10,573,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel 10,573,200 - - - - 10,573,200 and Finalizing ization of final version of One tegic Plan Commitments Partners 1 * 1584000 = = 1584000 Health strategic plan of Myanmar (WHO, OIE, 10573200 (1 International Consultatn, Developed FAO) 10 Days) MoHS,MoALI, OH strategic frame (2) Workshop on finalization National National One effective im- N Devel- ( 9000* (40 - 15 ) 1 Workshop : Per diem = 9000 Partici- 1 1 MoNREC wrok (Drafted) of One Health Strategic Plan Health Stra- plementation, opment 6,350,000 *2 + 15 * 4 * 30000 pants = 40 Days = 2, Participants away 6,350,000 6,350,000 - - - 12,700,000 and submission to related H.E tegic Plan Commitments Partners + 15 * 95000 + 2 * = 15 Days away = 4 Diem away = 30000 Ministers (1 Day workshop) of Myanmar (WHO, OIE, 250000 ( True) +40 Travel costs participants away = 95000, (Participants 40, Participants Developed FAO) * 2 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- away 15, 2 Days, 2 times) 10000True) + 40 tionary = 2500, Venue = 250000, Printing NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) * 2500True ) * 1 + costs = 75000, Disseminating costs = 0 75000 + 0 MoHS,MoALI, OH strategic frame (3) Deissemination/advocacy National National One effective im- N Devel- ( 9000* (35 - 15 ) 1 Workshop : Per diem = 9000 Partici- 1 MoNREC wrok (Drafted) workshop on One Health Health Stra- plementation, opment 4,242,500 *1 + 15 * 3 * 30000 pants = 35 Days = 1, Participants away - 4,242,500 - - - 4,242,500 Strategic Plan tegic Plan Commitments Partners + 15 * 95000 + 1 * = 15 Days away = 3 Diem away = 30000 (Participants 40, Participants of Myanmar (WHO, OIE, 250000 ( True) +35 Travel costs participants away = 95000, away 15, 2 Days, 2 times) Developed FAO) * 1 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- 10000True) + 35 tionary = 2500, Venue = 250000, Printing * 2500True ) * 1 + costs = 75000, Disseminating costs = 0 75000 + 0 2 Developing joint Training MoHS,MoALI, Under OH strate- (1) Hiring of International National Number limtted human N 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 program for public and MoNREC, gic Frame Work Consultant for Development of and subna- of training resources and 10,573,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 10,573,200 - - - 10,573,200 animal health MoD Training Modules on surveil- tional module/ competing 1 * 1584000 = = 1584000 lance, preparedness, detect programs, priorities 10573200 and response to zoonotic events (diseases/pathogens) by reviewing of Training program ( 1 Internaltional Consultant, 10 day) MoHS,MoALI, Under OH strate- (2) Training on preparedness, National limtted human N ( 9000* (50 - 35 ) 1 Training : Per diem = 9000 Participants 4 4 4 4 MoNREC, gic Frame Work detect and response to zoo- and subna- Number of resources and 13,655,000 *3 + 35 * 5 * 30000 = 50 Days = 3, Participants away = 35 - 54,620,000 54,620,000 54,620,000 54,620,000 218,480,000 MoD notic events (diseases/patho- tional staff well competing + 35 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel gens) for Public health and trained priorities 250000 ( True) +50 costs participants away = 95000, Tea Animal Health Professionals at * 3 * ( 15000True break = 10000, Lunch = 15000, Station- Central level + 10000True) + ary = 2500, Venue = 250000, Printing (50 participants, Away 35, 3 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 4 times per year) +0+0 MoHS,MoALI, Under OH strate- (3) Training on preparedness, National limtted human N ( 9000* (20 - 0 ) 1 Training : Per diem = 9000 Participants 35 35 35 35 MoNREC, gic Frame Work detect and response to for and subna- Number of resources and 1,910,000 *2 + 0 * 4 * 30000 = 20 Days = 2, Tea break = 10000, Lunch - 66,850,000 66,850,000 66,850,000 66,850,000 267,400,000 MoD Public Health and Animal tional staff well competing + 0 * 95000 + 2 * = 15000, Stationary = 2500, Venue = Health Professional at State trained priorities 250000 ( True) +20 250000, Printing costs = 0, Disseminating and Regional level * 2 * ( 15000True costs = 0 (20 participants, Away 0, 2 + 10000True) + days, 35 times per year) 20 * 2500True ) * 1 +0+0 3 Strengtheining Edu- MoHS,MoALI, Annual participa- (1) Hiring National Consultant All level Number and HR, budget, N 1 * 60 * (80000 + Number = 1 ; No of Days : 60 , Per diem = 1 65 cation and awareness MoNREC tion in zoonotic for development of IEC materi- type of IECs community 16,800,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 16,800,000 - - - 16,800,000 raising by implementing disease( OH day, al devlopement developed participation 16800000 National Awareness Ab awareness day, (pamphlet, poster, video, TV Campagin (OH day, Anti- rabies day) talk, billboards) biotic awareness week, (1 National Consultant, world rabies day) 60 days) MoHS,MoALI, Annual participa- (2) Producing and Printing All level no of IEC de- HR, budget, N 1 1 MoNREC tion in zoonotic of IEC material devloped veloped and community 180,000,000 - 180,000,000 - 180,000,000 - 360,000,000 disease( OH day, (pamphlet-1,000,000, poster produced. participation Ab awareness day, - 100,000, video - 5, TV talk , rabies day) billboards - 100) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MoHS,MoALI, Annual participa- (3) Awareness raising event All level reduce HR, budget, N ( 9000* (50 - 0 ) 1 Workshop : Per diem = 9000 Partici- 340 340 340 340 340 MoNREC tion in zoonotic on One Health Day at 340 incidence of community 2,075,000 *1 + 0 * 3 * 30000 pants = 50 Days = 1, Tea break = 10000, 705,500,000 705,500,000 705,500,000 705,500,000 705,500,000 3,527,500,000 disease( OH day, townships in Country diseases and participation + 0 * 95000 + 1 * Lunch = 15000, Stationary = 2500, Venue Ab awareness day, (50 participant, Away 0, 1 day, community 250000 ( True) +50 = 250000, Printing costs = 0, Disseminat- rabies day) 340 times per year) partici- * 1 * ( 15000True ing costs = 0 patiion im- + 10000True) + proved, PPP 50 * 2500True ) * 1 improved. +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) MoHS,MoALI, Annual participa- (4) Awareness raising event on All level reduce HR, budget, N ( 9000* (50 - 0 ) 1 Workshop : Per diem = 9000 Partici- 340 340 340 340 340 MoNREC tion in zoonotic Antibiotic Awareness Week incidence of community 2,075,000 *1 + 0 * 3 * 30000 pants = 50 Days = 1, Tea break = 10000, 705,500,000 705,500,000 705,500,000 705,500,000 705,500,000 3,527,500,000 disease( OH day, at 340 townships in Country diseases and participation + 0 * 95000 + 1 * Lunch = 15000, Stationary = 2500, Venue Ab awareness day, (50 participant, Away 0, 1 day, community 250000 ( True) +50 = 250000, Printing costs = 0, Disseminat- rabies day) 340 times per year) partici- * 1 * ( 15000True ing costs = 0 patiion im- + 10000True) + proved, PPP 50 * 2500True ) * 1 improved. +0+0 MoHS,MoALI, Annual participa- (5) Awareness raising event All level reduce HR, budget, N ( 9000* (50 - 0 ) 1 Workshop : Per diem = 9000 Partici- 350 350 350 350 350 MoNREC tion in zoonotic on World Rabies Day at 350 incidence of community 2,075,000 *1 + 0 * 3 * 30000 pants = 50 Days = 1, Tea break = 10000, 726,250,000 726,250,000 726,250,000 726,250,000 726,250,000 3,631,250,000 disease( OH day, townships in Country diseases and participation + 0 * 95000 + 1 * Lunch = 15000, Stationary = 2500, Venue Ab awareness day, (50 participant, Away 0, 1 day, community 250000 ( True) +50 = 250000, Printing costs = 0, Disseminat- rabies day) 350 times per year) partici- * 1 * ( 15000True ing costs = 0 patiion im- + 10000True) + proved, PPP 50 * 2500True ) * 1 improved. +0+0 4 Development of coor- MoHS,MoALI, Contigency plan (1) Workshop/meeting on National Coordination limtted human N ( 9000* (50 - 30 ) 2 Meeting : Per diem = 9000 Participants 1 dination mechnism MoNREC, for Avian Influen- Development of TOR for RRT, and subna- mechanism resources and 25,130,600 *3 + 30 * 5 * 30000 = 50 Days = 3, Participants away = 30 - 25,130,600 - - - 25,130,600 for interagency response MoD za- AI SoP, Guidline and Training tional and competing + 30 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel team for in the event National rapid Module including simulation readiness priorities 250000 ( True) +50 costs participants away = 95000, Tea 66 of suspected zoonotic response team exercise modules of coordi- of response * 3 * ( 15000True + break = 10000, Lunch = 15000, Station- outbreaks nation mechanism for Rapid team was 10000True) + 50 ary = 2500, Venue = 250000, Printing Respond Team estblished. * 2500True ) * 2 + costs = 100000, Disseminating costs = 0 (50 participants, Away 30, 3 100000 + 0 days, 1 time) MoHS,MoALI, Contigency plan (2) Hiring of International National Coordination limtted human N 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 MoNREC, for Avian Influen- consultant for Development of and subna- mechanism resources and 10,573,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 10,573,200 - - - 10,573,200 MoD za- AI TOR, SoP, Guidline and Training tional and competing 1 * 1584000 = = 1584000 National rapid Module including simulation readiness priorities 10573200 response team exercise module for Rapid of response Respond Team team was (1 International Consultant, estblished. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 10 days) MoHS,MoALI, Contigency plan (3) Training and simulation National No of staff limtted human N ( 9000* (50 - 0 ) 1 Meeting : Per diem = 9000 Participants 15 15 15 15 15 MoNREC, for Avian Influen- exercise for RRT in the event of and subna- well trained resources and 4,025,000 *2 + 0 * 4 * 30000 = 50 Days = 2, Tea break = 10000, Lunch 60,375,000 60,375,000 60,375,000 60,375,000 60,375,000 301,875,000 MoD za- AI suspected zoonotic outbreaks. tional competing + 0 * 95000 + 2 * = 15000, Stationary = 2500, Venue = National rapid (50 participants, Away 0, 2 priorities 250000 ( True) +50 250000, Printing costs = 0, Disseminating response team days, 15 trainings per year) * 2 * ( 15000True costs = 0 + 10000True) + 50 * 2500True ) * 1 +0+0 5 Development (Improve- MoHS,MoALI, AI, Rabies, AMR (1) Coordination Meeting on National Surveillance limtted human N ( 9000* (100 - 0 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 2 ment) of surveillance MoNREC surveillance improvement of surveillance and subna- indicators- resources and 7,550,000 *2 + 0 * 4 * 30000 = 100 Days = 2, Tea break = 10000, 15,100,000 15,100,000 15,100,000 15,100,000 15,100,000 75,500,000 for prioritized zoonotic activities to mplement prioritized tional no. of competing + 0 * 95000 + 2 * Lunch = 15000, Stationary = 2500, Venue diseases or reporting, zoonotic diseases such as AI, supervisory priorities 250000 ( True) +100 = 250000, Printing costs = 0, Disseminat- Feedback and actions Rabies, AMR visits * 2 * ( 15000True ing costs = 0 (100 participant, 0 Away, 2 + 10000True) + days, 2 times per Year) 100 * 2500True ) * 1 +0+0 MoHS,MoALI, Feed back meet- (2) Routine Meeting on National limtted human N ( 9000* (100 - 0 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 2 MoNREC ing/ workshop on development of reporting and subna- Routing resources and 7,550,000 *2 + 0 * 4 * 30000 = 100 Days = 2, Tea break = 10000, 15,100,000 15,100,000 15,100,000 15,100,000 15,100,000 75,500,000 AI surveillance mechanism and identification tional meeting for competing + 0 * 95000 + 2 * Lunch = 15000, Stationary = 2500, Venue activities of format for relevant depart- information priorities 250000 ( True) +100 = 250000, Printing costs = 0, Disseminat- ment for reporting including sharing * 2 * ( 15000True ing costs = 0 Annual Reporting Annual + 10000True) + (100 participant, 0 Away, 2 reporting 100 * 2500True ) * 1 days, 2 times per Year) to relevant +0+0 Ministeries 6 Strengthening labo- MoHS, MoALI Boisafety level 2 (1) Maintainance Program National validate test N 1 1 1 1 1 ratory capacity and (BSL 2+) facility for existing BSL 2+ facilities, result and 7,504,000 7,504,000 7,504,000 7,504,000 7,504,000 7,504,000 37,520,000 upgrading biosafety and biosecurity improve QA/ laboratory QC, sustain- able BSL2+ facilities done Boisafety level 2 (2) Multiplier training on National number of Funding N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 (BSL 2+) facility Biosafety and Biosecurity staff trained 4,865,000 *2 + 15 * 4 * 30000 = 20 Days = 2, Participants away = 15 - - 9,730,000 9,730,000 9,730,000 29,190,000 for Animal sector as multiplier + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel 20 participants ( 15 - away) for biosafetly 250000 ( True) +20 costs participants away = 95000, Tea 2-day training and biose- * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (TOT training will be at curity + 10000True) + ary = 2500, Venue = 250000, Printing Biosafetly and Biosecurity 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 area plan) +0+0 MOHS joint Boisafety level 2 (3) Multiplier training on National number of Funding N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 LBVD (BSL 2+) facility improve the capacity of staff to staff trained 4,865,000 *2 + 15 * 4 * 30000 = 20 Days = 2, Participants away = 15 - - 9,730,000 9,730,000 9,730,000 29,190,000 do detect the priority AMR as multiplier + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel pathogen in country for for biosafetly 250000 ( True) +20 costs participants away = 95000, Tea 67 Animal sector and biose- * 2 * ( 15000True break = 10000, Lunch = 15000, Station- 20 participants ( 15 - away) curity + 10000True) + ary = 2500, Venue = 250000, Printing 2-day training 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (TOT training will be at +0+0 AMR area plan) MOHS joint Boisafety level 2 (4) International fellow- Interna- number Funding N 2 2 2 2 2 LBVD (BSL 2+) facility ship program on Biosafety tional of staff 7,656,000 15,312,000 15,312,000 15,312,000 15,312,000 15,312,000 76,560,000 and Biosecurity trained on 1 weeks internaitonal Travel cost @ 1000USD programfor Tuition @2,000 biosafetly Perdiem and accomodation and biose- NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) @ 2,800 curity 2 people per year MoHS, MoALI BSL 2+ facility (5) Workshop/meeting on National Number of Participation N ( 9000* (15 - 13 ) 1 Meeting : Per diem = 9000 Participants 4 4 4 4 4 harmonization of the labora- meeting and interest of 5,151,500 *3 + 13 * 5 * 30000 = 15 Days = 3, Participants away = 13 20,606,000 20,606,000 20,606,000 20,606,000 20,606,000 103,030,000 tory tests. for harmo- stakholders in + 13 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel (15 Participants, Away 13, 3 nization of workshops 250000 ( True) +15 costs participants away = 95000, Tea days, 4 meetings per year ) laboratory * 3 * ( 15000True break = 10000, Lunch = 15000, Station- test done + 10000True) + ary = 2500, Venue = 250000, Printing 15 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 JEE Indicator P.4.2 Animal Health and Veterinarian Workforce JEE Scores 3 JEE recommendations * expend the animal health workforce and organize continus educartion for existing workforce on local, regional and national levels Objective To strengthen and expert Veterinary workforce upto subnational level No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Developing and con- MOHS joint risk assessment, (1) Workshop/Meeting for National Joint training N ( 9000* (50 - 50 ) 1 Meeting : Per diem = 9000 Participants 1 ducting Joint training LBVD risk commu- development of Joint training and subna- program 31,275,500 *7 + 50 * 9 * 30000 = 50 Days = 7, Participants away = 50 - 31,275,500 - - - 31,275,500 program for disease niction, risk program and module includ- tional developed + 50 * 95000 + 7 * Days away = 9 Diem away = 30000 Travel Prevention, Control and management ing simulation exercises for and oint 250000 ( True) +50 costs participants away = 95000, Tea response more colloboration with MoHS activities * 7 * ( 15000True break = 10000, Lunch = 15000, Station- and LBVD, MoALI increased + 10000True) + ary = 2500, Venue = 250000, Printing (50 participant, Away 50, 7 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 1 times) +0+0 MOHS joint risk assessment, (2) hiring international and National Joint training N 1 * 30 * (80000 + Number = 1 ; No of Days : 30 , Per diem = 1 LBVD risk commu- national for development of and subna- program 8,400,001 200000) + 1 * 1 = 80000 ; Daily rate = 200000 : Travel = 1 - 8,400,001 - - - 8,400,001 niction, risk Joint Training Program and tional developed 8400001 management module including simulaiton and oint exercises prevention, control activities 68 and response increased (1 international, 30 days) MOHS joint risk assessment, (3) Training on Joint training National Training and Tight schedulesf N ( 9000* (50 - 50 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 LBVD risk commu- Program inlcuding Joint sim- and subna- numbers by stakeholder for 31,275,500 *7 + 50 * 9 * 30000 = 50 Days = 7, Participants away = 50 31,275,500 31,275,500 31,275,500 31,275,500 31,275,500 156,377,500 niction, risk ulation exercise for staff from tional of trainees delays + 50 * 95000 + 7 * Days away = 9 Diem away = 30000 Travel management both sectors for joint 250000 ( True) +50 costs participants away = 95000, Tea (50 participant, Away 50, 7 activities * 7 * ( 15000True break = 10000, Lunch = 15000, Station- days, 1 times per year) increased + 10000True) + ary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 MOHS joint risk assessment, (4) To conduct Joint Field/site National number of Tight schedulesf N 15 * 3 * 31000 + 1 1 1 1 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) LBVD risk commu- visit for more collaboration and subna- Field/site by stakeholder for 2,583,000 3 * 132000 * 3 = 2,583,000 2,583,000 2,583,000 2,583,000 2,583,000 12,915,000 niction, risk with MOHS AND LBVD tional visit for joint delays 2583000 management (3 person, 15 days per visit 1 activities times per year) increased MOHS joint risk assessment, (5) To conduct Joint Outbreak National Number of Tight schedulesf N 10 * 7 * 31000 + 2 2 2 2 2 LBVD risk commu- Response and surveillance for and subna- joint reso- by stakeholder for 4,226,000 10 * 95000 + 1 * 8,452,000 8,452,000 8,452,000 8,452,000 8,452,000 42,260,000 niction, risk more collaboration with MOHS tional ponse and delays 132000 * 7 + 7 * 1 * management AND LBVD surveillance 26000 = 4226000 (10 members, 7 days visit, 2 by joint times per year for outbreaks, activities response and surveillance) increased 15 times of this activity are inlcuded in activity D.2.1.1.2 under Real Time surveillance area 2 Development and MOHS joint (1) FETPV (Distict) subnational National epedemiol- Tight training N ( 9000* (0 - 20 ) *5 1 Meeting : Per diem = 9000 Participants 70 70 70 70 70 strengthening field LBVD, MoD level for national training and subna- ogist at all schedulesf due 6,450,000 + 20 * 7 * 30000 + = 0 Days = 5, Participants away = 20 451,500,000 451,500,000 451,500,000 451,500,000 451,500,000 2,257,500,000 veterinary workforce programs (for all level of tional level trained to high treaining 20 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel FETPV training course) frequency 250000 ( True) +0 costs participants away = 95000, Tea (20 participants, 20 Away, 5 * 5 * ( 15000True break = 10000, Lunch = 15000, Station- days, 70 trainings per Year) + 10000True) + ary = 2500, Venue = 250000, Printing (Total 1400 staff - 20 Deputy 0 * 2500True ) * 1 costs = 0, Disseminating costs = 0 District Vetanry Officerx70 +0+0 districts) MOHS joint biannual trianing (2) FETPV (Distict) subnational National epedemiol- Timely processing N 2 2 2 2 2 LBVD, MoD programs level for International training and subna- ogist at all to go to the 9,400,000 18,800,000 18,800,000 18,800,000 18,800,000 18,800,000 94,000,000 programs tional level trained program (2per person per year, 30 days in MMK )+ round trip 3 Strengthening con- MOHS joint Animal Health (1) Hiring of Expert consulta- National continuous s N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 1 tinuous education on LBVD Biosecurity tion for developing Tools and and subna- education to 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 19,562,400 - - - 19,562,400 zoonotic disease and materials materials, traing tional all veterinar- 1 * 1584000 = = 1584000 Emerging infectious module, simulation exercise ians done 19562400 disease (EID ) for EID, biosafety, private and public veterinarian reporting training (1 International Consultant, 20 days) MOHS joint Animal Health (2) Workshop/meeting for National continuous s Awareness raised N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 Partici- 2 LBVD Biosecurity development of Tools and and subna- education to by community 12,515,000 *3 + 30 * 5 * 30000 pants = 50 Days = 3, Participants away - 25,030,000 - - - 25,030,000 materials materials, traing tional all veterinar- + 30 * 95000 + 3 * = 30 Days away = 5 Diem away = 30000 module, simulation exercise ians done 250000 ( True) +50 Travel costs participants away = 95000, for EID, biosafety, private and * 3 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- 69 public veterinarian reporting + 10000True) + tionary = 2500, Venue = 250000, Printing training 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (50 participants, 30 Away, 3 +0+0 days, 2 times) MOHS joint Animal Health (3) Dissemination workshop/ National continuous s Awareness raised N ( 9000* (60 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 LBVD Biosecurity meeting for guideline, Tools and subna- education to by community 6,010,000 *1 + 20 * 3 * 30000 = 60 Days = 1, Participants away = 20 - 6,010,000 - - - 6,010,000 and materials materials, traing tional all veterinar- + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel module, simulation exercise ians done 250000 ( True) +60 costs participants away = 95000, Tea for EID, biosafety, private and * 1 * ( 15000True break = 10000, Lunch = 15000, Station- public veterinarian reporting + 10000True) + ary = 2500, Venue = 250000, Printing training 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (60 participants, 20 Away, 1 +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) days, 1 times) MOHS joint Animal Health (4) Training on guideline, Tools National Number of Awareness raised N ( 9000* (50 - 30 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 2 LBVD Biosecurity and materials, traing module, and subna- staff trained. by community 12,515,000 *3 + 30 * 5 * 30000 = 50 Days = 3, Participants away = 30 25,030,000 25,030,000 25,030,000 25,030,000 25,030,000 125,150,000 simulation exercise for EID, tional continuous s + 30 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel biosafety, private and public education to 250000 ( True) +50 costs participants away = 95000, Tea veterinarian reporting training all veterinar- * 3 * ( 15000True break = 10000, Lunch = 15000, Station- for ventanary Staff ians done + 10000True) + ary = 2500, Venue = 250000, Printing (50 participants, 30 Away, 3 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 2 times per Year) +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 4 Regular updating of LBVD Only Central level (1) Conducting Livestock National Regular Human resources N 1 1 Animal census Data estimation is on. census in Every 5 year and subna- updating 1,548,750,000 1,548,750,000 - - - 1,548,750,000 3,097,500,000 updating tional of more accurate census and veterinary coverage 5 Development of pro- LBVD Basic animal (1) Adovacacy meeting and National Advocacy T Y FAO ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 gram for CAHW training heath services workshop for development Meeting 7,965,000 *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 7,965,000 - - - 7,965,000 of Policies and regulation for conducted + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 Community Animal Health 250000 ( True) +50 Travel costs participants away = 95000, Worker (CAHW) upto village * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- level in order to strengthen + 10000True) + tionary = 2500, Venue = 250000, Printing disease reporting, surveillance, 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 vaccination (50 participants, +0+0 20 Away, 2 days, 1 times) LBVD Basic animal (2) Hiring of one National National CAHW Timely develop- Y FAO 1 * 60 * (8000 + Number = 1 ; No of Days : 60 , Per diem = 1 heath services consultant for development manaul, ment is essential 12,480,000 200000) + 1 * 0 = 8000 ; Daily rate = 200000 : Travel = 0 - 12,480,000 - - - 12,480,000 of Community Animal Health guidleline, 12480000 Worker (CAHW) Guideline/ TOR, training 70 manual, TOR, training Modules modules (1 National Co nsultant, done 60 Days) LBVD Basic animal (3) Workshop on development Subna- CAHW Timely develop- Y FAO ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 2 heath services of Community Animal Health tional manaul, ment is essential 12,705,000 *4 + 20 * 6 * 30000 pants = 50 Days = 4, Participants away - 25,410,000 - - - 25,410,000 Worker (CAHW) Guideline/ guidleline, + 20 * 95000 + 4 * = 20 Days away = 6 Diem away = 30000 manual, TOR, training Modules TOR, training 250000 ( True) +50 Travel costs participants away = 95000, (50 participants, 20 Away, 4 modules * 4 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- days, 2 times) done + 10000True) + tionary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) LBVD Basic animal (4) Recruitment Training for Subna- CAHW Tight training Y FAO ( 9000* (40 - 0 ) 1 Training : Per diem = 9000 Participants 25 25 heath services Community Animal Health tional manaul, schedules for 11,370,000 *7 + 0 * 9 * 30000 = 40 Days = 7, Tea break = 10000, Lunch - 284,250,000 284,250,000 - - 568,500,000 Worker (CAHW) upto village guidleline, trainers + 0 * 95000 + 7 * = 15000, Stationary = 2500, Venue = level for disease reporting, TOR, training 250000 ( True) +40 250000, Printing costs = 0, Disseminating surveillance, vaccination modules * 7 * ( 15000True costs = 0 (40 participants, 0 Away, 7 done + 10000True) + days, 25 times per year, at dis- 40 * 2500True ) * 1 trict 25 each district level) +0+0 LBVD Basic animal (5) Refresher Training for Com- Subna- CAHW N ( 9000* (40 - 0 ) 1 Training : Per diem = 9000 Participants 25 25 heath services munity Animal Health Worker tional manaul, 4,930,000 *3 + 0 * 5 * 30000 = 40 Days = 3, Tea break = 10000, Lunch - - - 123,250,000 123,250,000 246,500,000 (CAHW) upto village level for guidleline, + 0 * 95000 + 3 * = 15000, Stationary = 2500, Venue = disease reporting, surveillance, TOR, training 250000 ( True) +40 250000, Printing costs = 0, Disseminating vaccination modules * 3 * ( 15000True costs = 0 (40 participants, 0 Away, 3 done + 10000True) + days, 25 times per year, at dis- 40 * 2500True ) * 1 trict 25 each district level) +0+0 JEE Indicator P.4.3 Mechanisms for responding to infectious zoonoses are established and functional JEE Scores 2 JEE recommendations * Establish inofrmation sharing systems, joint simulation exercises and formal coordination mechanisms between LBVD and DoPH Objective To establish effective coordination and information sharing mechanisms among sectors 1 Formal coordination Joint (LBVD- joint outbreak and (1) Meeting/workshop for Dis- National,- Formalized coordination and N ( 9000* (60 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 and information sharing MOALI, surveillance report ease specific regular exercise, subnational coordination collaboration 8,670,000 *2 + 20 * 4 * 30000 = 60 Days = 2, Participants away = 20 - 8,670,000 - - - 8,670,000 mechanism between MoHS, to OIE to develop formal information and repo- Timely sharing + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel LBVD and DoPH, other MoNREC) sharing mechansim and MOU ritng and 250000 ( True) +60 costs participants away = 95000, Tea Stakeholders or agreement) among three system in * 2 * ( 15000True break = 10000, Lunch = 15000, Station- sectors, place + 10000True) + ary = 2500, Venue = 250000, Printing (60 participant, 20 away, 2 MOU 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 day, 1 times) +0+0 Joint (LBVD- joint outbreak and (2) Regular quarterly Coordi- National,- Formalized coordination and N ( 9000* (30 - 10 ) 1 Meeting : Per diem = 9000 Participants 4 4 4 4 MOALI, surveillance report nation meeting for Disease subnational coordination collaboration 3,105,000 *1 + 10 * 3 * 30000 = 30 Days = 1, Participants away = 10 - 12,420,000 12,420,000 12,420,000 12,420,000 49,680,000 MoHS, to OIE specific regular exercise and and repo- Timely sharing + 10 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel MoNREC) formal information sharing ritng and 250000 ( True) +30 costs participants away = 95000, Tea mechansim among three system in * 1 * ( 15000True break = 10000, Lunch = 15000, Station- sectors, place + 10000True) + ary = 2500, Venue = 250000, Printing (30 participant, 10 away, 1 MOU 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 day, 4 times per year) +0+0 2 Strengthening of Joint (LBVD- LBVD, FAO, MoHS (1) Quartly Meeting on Table National,- Exercises regular exercises Y FAO ( 9000* (50 - 30 ) 1 Meeting : Per diem = 9000 Participants 4 4 4 4 emergency response MOALI, Top exercise subnational done 9,985,000 *2 + 30 * 4 * 30000 = 50 Days = 2, Participants away = 30 - 39,940,000 39,940,000 39,940,000 39,940,000 159,760,000 at all level (Table top MoHS, (50 participants, 30 Away, 2 + 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel 71 exercise) MoNREC) days, 4 times per year) 250000 ( True) +50 costs participants away = 95000, Tea * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 3 Strengthening MoALI, MoC, Quarratine pro- (1) Upgrading of the quarra- National Increase no border area N (50,000,000*1*5) for 5 5 5 5 Veterinary Sanitary MoR grams in limited tine facilities and services in and Subna- of quarratine security 5,000,000 5 check points - 25,000,000 25,000,000 25,000,000 25,000,000 100,000,000 Phytosanitoary (SPS) area potential border trade, at 5 tional stations and HR management by check points. installed. establishing quarrantine (50,000,000*1*5) systems in border and airport/seaport (CIQ) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MoALI, MoC, Quarratine pro- (1) Expansion of the quarratine National Increase no border area N (100,000,000*1*6) 6 6 6 6 MoR grams in limited facilities and services in poten- and Subna- of quarratine security 100,000,000 for 6 stations for - 600,000,000 600,000,000 600,000,000 600,000,000 2,400,000,000 area tial border trade. 6 quarantine tional stations and HR every year facilities will be expanded for installed. every year) (100,000,000*1*6, fir 5 year) MoALI, Quarratine pro- (2) Training on Veterinary National Number of border area N ( 9000* (20 - 20 ) 1 Training : Per diem = 9000 Participants 6 6 6 6 (LBVD- MOA- grams in limited Sanitary Phytosynitory (SPS) and Subna- Staff trained security 7,200,000 *3 + 20 * 5 * 30000 = 20 Days = 3, Participants away = 20 - 43,200,000 43,200,000 43,200,000 43,200,000 172,800,000 LI, MoHS, area management by establishing tional HR + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel MoNREC) quarrantine systems for 250000 ( True) +20 costs participants away = 95000, Tea Inspector and quarantine for * 3 * ( 15000True break = 10000, Lunch = 15000, Station- veterinarians + 10000True) + ary = 2500, Venue = 250000, Printing ( 20 participant, 20 Away, 2 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 6 times per year) +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) MoALI, Quarratine pro- (3) Review and Revise meeting National Increase no border area N ( 9000* (60 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 Ministry of grams in limited on inspector and quaranten and Subna- of quarratine security 8,670,000 *2 + 20 * 4 * 30000 = 60 Days = 2, Participants away = 20 - - 8,670,000 - 8,670,000 17,340,000 Conmerce, area training tional stations HR + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Ministry of ( 60 participant, 20 Away, 2 250000 ( True) +60 costs participants away = 95000, Tea Revenue days, 1 times two year) * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 4 Strengthening Simula- Joint (LBVD- Annually with (1) Bi-Annual Coordination National,- regular regular exercises N ( 9000* (40 - 0 ) 1 Meeting : Per diem = 9000 Participants 35 35 35 35 tion exercises for Mech- MOALI, FAO, MoHS and Review Meeting at State, subnational exercises at 3,320,000 *2 + 0 * 4 * 30000 = 40 Days = 2, Tea break = 10000, Lunch - 116,200,000 116,200,000 116,200,000 116,200,000 464,800,000 anisms for responding to MoHS, Regiona and District level all level + 0 * 95000 + 2 * = 15000, Stationary = 2500, Venue = infectious zoonoses MoNREC) (40 participant, 0 Away, 2 250000 ( True) +40 250000, Printing costs = 0, Disseminating days, 2 times per year) * 2 * ( 15000True costs = 0 + 10000True) + 40 * 2500True ) * 1 +0+0 Joint (LBVD- Annually with (2) Bi-Annual oordination and National,- regular regular exercises N ( 9000* (40 - 0 ) 1 Meeting : Per diem = 9000 Participants 340 340 340 340 MOALI, FAO, MoHS Review Meeting at township subnational exercises at 3,320,000 *2 + 0 * 4 * 30000 = 40 Days = 2, Tea break = 10000, Lunch - 1,128,800,000 1,128,800,000 1,128,800,000 1,128,800,000 4,515,200,000 MoHS, level all level + 0 * 95000 + 2 * = 15000, Stationary = 2500, Venue = MoNREC) (40 participant, 0 Away, 2 250000 ( True) +40 250000, Printing costs = 0, Disseminating 72 days, 2 times per year) * 2 * ( 15000True costs = 0 + 10000True) + 40 * 2500True ) * 1 +0+0 5 Strengthening report- Joint (LBVD- informal informa- (1) Meeting/ workshop on National,- Mecha- reporting from N ( 9000* (30 - 10 ) 1 Workshop : Per diem = 9000 Partici- 2 ing systems MOALI, tion sharing Assignment of the focal point subnational nism for farmers 4,585,000 *2 + 10 * 4 * 30000 pants = 30 Days = 2, Participants away - 9,170,000 - - - 9,170,000 LBVD, DoPH and MoN- MoHS, and development of the mech- informaiton (no compensation + 10 * 95000 + 2 * = 10 Days away = 4 Diem away = 30000 REC (inter departmental) MoNREC anism for formal sharing of sharing and mechanism) 250000 ( True) +30 Travel costs participants away = 95000, Private veterinarian, informaiton and development reporting awareness of * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- Farmers of reporting training materials developed private veteri- + 10000True) + tionary = 2500, Venue = 250000, Printing (30 participants, 10 Away, 2 narians 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 2 times) +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Joint (LBVD- informal informa- (2) Hiring of National Consul- National,- Mecha- reporting from N 1 * 20 * (80000 + Number = 1 ; No of Days : 20 , Per diem = 1 MOALI, tion sharing tant for development of the subnational nism for farmers 5,600,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 5,600,000 - - - 5,600,000 MoHS, mechanism for formal sharing informaiton (no compensation 5600000 MoNREC) of informaiton and develop- sharing and mechanism) ment of reporting training reporting awareness of materials developed private veteri- (1 national consultant for narians 20 days) Joint (LBVD- informal informa- (3) Training on awareness and National,- Number of reporting from N ( 9000* (40 - 0 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 MOALI, tion sharing education for developed the subnational Staff trained farmers 3,320,000 *2 + 0 * 4 * 30000 = 40 Days = 2, Tea break = 10000, Lunch - 6,640,000 6,640,000 6,640,000 6,640,000 26,560,000 MoHS, mechanism for formal sharing (no compensation + 0 * 95000 + 2 * = 15000, Stationary = 2500, Venue = MoNREC) of informaiton and reporting mechanism) 250000 ( True) +40 250000, Printing costs = 0, Disseminating training Materials awareness of * 2 * ( 15000True costs = 0 (40 participant, 0 Away, 2 private veteri- + 10000True) + days, 2 times per year) narians 40 * 2500True ) * 1 +0+0 Joint (LBVD- informal informa- (4) Meeting/ workshop on National,- Manual reporting from N ( 9000* (30 - 10 ) 1 Workshop : Per diem = 9000 Partici- 2 MOALI, tion sharing development of Guideline/ subnational for former farmers 4,585,000 *2 + 10 * 4 * 30000 pants = 30 Days = 2, Participants away - 9,170,000 - - - 9,170,000 MoHS, manual for Farmer for their (Reporting) (no compensation + 10 * 95000 + 2 * = 10 Days away = 4 Diem away = 30000 MoNREC) reporting in outbreak or developed mechanism) 250000 ( True) +30 Travel costs participants away = 95000, emergencies (For example, awareness of * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- Using insuarances System for private veteri- + 10000True) + tionary = 2500, Venue = 250000, Printing breeding or bussiness) narians 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (30 participants, 10 Away, 2 +0+0 days, 2 times) Joint (LBVD- informal informa- (5) Hiring of International National,- Manual reporting from N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 1 MOALI, tion sharing Consultant for development of subnational for former farmers 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 19,562,400 - - - 19,562,400 MoHS, Guideline/manual for Farmer (Reporting) (no compensation 1 * 1584000 = = 1584000 MoNREC) for their reporting in outbreak developed mechanism) 19562400 or emergencies (For example, awareness of Using insuarances System for private veteri- breeding or bussiness) narians (I1 International Consultant, 20 days) Joint (LBVD- Animal Health (3) Dissemination workshop/ National Manual New System and N ( 9000* (60 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 MOALI, Biosecurity meeting onGuideline/manual and subna- for former Practices will take 6,010,000 *1 + 20 * 3 * 30000 = 60 Days = 1, Participants away = 20 - 6,010,000 - - - 6,010,000 MoHS, for Farmer for their reporting tional (Reporting) times + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel MoNREC) in outbreak or emergencies dessimi- 250000 ( True) +60 costs participants away = 95000, Tea (60 participants, 20 Away, 1 nated * 1 * ( 15000True break = 10000, Lunch = 15000, Station- days, 1 times) + 10000True) + ary = 2500, Venue = 250000, Printing 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 6 Prevention of Rabies LVBD, MoALI Existing Pilot (1) Procurement of Rabie Vac- All Level Number dog Budget apporval N 500,000*600 5 5 5 5 among Dog community vaccination of dog cing for Mass Dog Vaccination vaccinated in and HR for vacci- 1,200 per year 0 0 0 0 - 600,000,000 600,000,000 600,000,000 600,000,000 2,400,000,000 73 (Imunization in Dog) in country Campaign at Risk areas one year, nationat each risk 0 0 0 0 (500,000 dogs per years will Number areas. 0 0 0 0 be vaccinated) of vaccing 0 0 0 0 procured 0 0 0 0 (2) Rabie Vaccination Practical All Level Number of Budget apporval N ( 9000* (50 - 0 ) 1 Training : Per diem = 9000 Participants 50 50 50 50 Training on Rabies vaccine for vaccinator and finding 13,825,000 *7 + 0 * 9 * 30000 = 50 Days = 7, Tea break = 10000, Lunch - 691,250,000 691,250,000 691,250,000 691,250,000 2,765,000,000 Field Operation/Vaccinators training and Vaccinators for + 0 * 95000 + 7 * = 15000, Stationary = 2500, Venue = (Total 2500 persons (CAHW/ in fuction for vaccination at risk 250000 ( True) +50 250000, Printing costs = 0, Disseminating field operation/vaccinator)- 50 vaccination areas * 7 * ( 15000True costs = 0 participants, 0 Away, 7 days 50 + 10000True) + times per year) 50 * 2500True ) * 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) +0+0 - - - - - - MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL Surveillance system in place for priortized zoonotic diseases Total TECHNICAL AREA Prevention 5 Food Safety Estimated cost JEE Indicator P.5.1 Mechanisms for multisectoral collaboration established to ensure rapid response to food safety emergencies and outbreaks of foodborne diseases (USD) JEE Scores 2 343,208.40 JEE recommendations * Establish a multi-sectoral strategy for a national food safety management and surveillance system from farm to fork Total Estimated cost * Implement food safety control management systems based on multi-sectoral involvement in risk profiling of food safety problems Total cost per year of implementation (Local * Activate a transparent communication mechanism between all public and private food safety stakeholders currency) (Kyats) To promote capacities for serveillance and response among State parties for food- and water-born disease riskes or events Objective - 206,080,100 109,775,000 109,775,000 109,775,000 535,405,100 To strengthen effective communication and collaboration among the sectors responsible for food safety, and safe water and sanitation No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotoring lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- and Evalua- (govern- rency) " 2 2 2 2 2 metation going activities mented tion)" ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 74 1 Guidelines for the CEU, FDA, Rapid Response (1) Advocacy meeting to National Guideline/ Multisectoral N ( 9000* (20 - 6 ) 1 Meeting : Per diem = 9000 Participants 1 National Food Safety Laboratory- Team (RRT) develop guidline, training manual and involvement and 2,136,000 *1 + 6 * 3 * 30000 = 20 Days = 1, Participants away = - 2,136,000 - - - 2,136,000 Emergency and MoHS, LBVD- already Modules and to organize or task force communication + 6 * 95000 + 1 * 6 Days away = 3 Diem away = 30000 Outbreak Response of MoALI established, form task force for National developed in mechanism, 250000 ( True) +20 Travel costs participants away = 95000, food borne diseases outbreak Food Safety Emergency and time human resources * 1 * ( 15000True Tea break = 10000, Lunch = 15000, management Outbreak Response of food and financial + 10000True) + Stationary = 2500, Venue = 250000, guidelines. borne diseases support 20 * 2500True ) * 1 Printing costs = 0, Disseminating (20 partcipants, Away 6, 1 +0+0 costs = 0 day, 2 time ) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (2) Task force meetings National Guideline/ Multisectoral N ( 9000* (15 - 6 ) 1 Meeting : Per diem = 9000 Participants 2 to develop draft guidline, manual involvement and 1,903,500 *1 + 6 * 3 * 30000 = 15 Days = 1, Participants away = - 3,807,000 - - - 3,807,000 training Modules drafted communication + 6 * 95000 + 1 * 6 Days away = 3 Diem away = 30000 (15 participants, Away 6, 1 mechanism, 250000 ( True) +15 Travel costs participants away = 95000, dya, 4 times) human resources * 1 * ( 15000True Tea break = 10000, Lunch = 15000, + 10000True) + Stationary = 2500, Venue = 250000, 15 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (3) All stakeholders National Guideline/ Multisectoral N ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 involvement Workshop manual involvement and 7,360,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = - 7,360,000 - - - 7,360,000 on finalizaton of National Developed communication + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 Food Safety Emergency and mechanism, 250000 ( True) +40 Travel costs participants away = 95000, Outbreak Response of fo od human resources * 2 * ( 15000True Tea break = 10000, Lunch = 15000, borne diseases Guideline, + 10000True) + Stationary = 2500, Venue = 250000, training Modules 40 * 2500True ) * 1 Printing costs = 0, Disseminating (40 participants, Away 20, 2 +0+0 costs = 0 days, 1 time ) FDA, NHL- (4) Dessimination workshop/ National Dessimination N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 1 MoHS, LBVD- meeting for Guidelines meeting 8,085,000 *1 + 30 * 3 * 30000 Participants = 70 Days = 1, Participants - 8,085,000 - - - 8,085,000 MoALI on National Food Safety conducted + 30 * 95000 + 1 * away = 30 Days away = 3 Diem away Emergency and Outbreak 250000 ( True) +70 = 30000 Travel costs participants away Response of food borne * 1 * ( 15000True = 95000, Tea break = 10000, Lunch diseases Guideline, training + 10000True) + = 15000, Stationary = 2500, Venue = Modules 70 * 2500True ) * 1 250000, Printing costs = 0, Disseminating (70 participants per meeting, +0+0 costs = 0 35 away, for 2 days) 2 Build up th capacties of CEU, FDA, Rapid Response (1) TOT training and TOT National, Total number technical, interest, N ( 9000* (40 - 20 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 persons who are related Laboratory- Team (RRT) referesher Trainings on Food subnational of Inspector commitments, 9,350,000 *3 + 20 * 5 * 30000 = 40 Days = 3, Participants away = - 9,350,000 9,350,000 9,350,000 9,350,000 37,400,000 to food safety and MoHS, LBVD- already Safety, Emergency Outbreak and outbreak financial support + 20 * 95000 + 3 * 20 Days away = 5 Diem away = 30000 security MoALI, established, reposponse for Food Inspectors investigator 250000 ( True) +40 Travel costs participants away = 95000, YCDC, NCDC, outbreak and Outbreak Investigators for effective * 3 * ( 15000True Tea break = 10000, Lunch = 15000, MCDC management for Staff from central, States and efficient + 10000True) + Stationary = 2500, Venue = 250000, guidelines. and Dvisions with one response to 40 * 2500True ) * 1 Printing costs = 0, Disseminating international and national food safety +0+0 costs = 0 consultant control (40 participats, 20 Away, 3 management days, 1 times per year) (2) Multiplier Trainings on National, Total number technical, interest, N ( 9000* (50 - 40 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 Food Safety, Emergency subnational of Inspector commitments, 14,695,000 *3 + 40 * 5 * 30000 = 50 Days = 3, Participants away = - 29,390,000 29,390,000 29,390,000 29,390,000 117,560,000 Outbreak reposponse for and outbreak financial support + 40 * 95000 + 3 * 40 Days away = 5 Diem away = 30000 Food Inspectors and Outbreak investigator 250000 ( True) +50 Travel costs participants away = 95000, Investigators upto township for effective * 3 * ( 15000True Tea break = 10000, Lunch = 15000, level withone national and efficient + 10000True) + Stationary = 2500, Venue = 250000, consultant response to 50 * 2500True ) * 1 Printing costs = 0, Disseminating For total 200 trainess by food safety +0+0 costs = 0 seperate relevant department control 75 by using guidelines and management traning Modules (50 participant, Away 40, 3 days, 4 times, for 5 years) (3) Hiring of National technical, interest, N 1 * 5 * (80000 + Number = 1 ; No of Days : 5 , Per diem = 2 2 2 2 Consultant for training commitments, 1,400,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 2,800,000 2,800,000 2,800,000 2,800,000 11,200,000 (1 national consultant, 5 days, financial support 1400000 4 trainings per year, including 1st TOT training) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (4) Hiring of International technical, interest, N 1 * 5 * (238920 Number = 1 ; No of Days : 5 , Per diem 1 Consultant for the first 1 TOT commitments, 6,078,600 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 6,078,600 - - - 6,078,600 training financial support 1584000 = 6078600 = 1584000 (1 International consultant, 5 days, first 1 TOT training) (5) Workshop on food safety Number of technical, interest, N ( 9000* (70 - 50 ) 1 Workshop : Per diem = 9000 2 2 2 2 and Emergency Outbreak workshop commitments, 15,285,000 *2 + 50 * 4 * 30000 Participants = 70 Days = 2, Participants - 30,570,000 30,570,000 30,570,000 30,570,000 122,280,000 Response for relevant conducted financial support + 50 * 95000 + 2 * away = 50 Days away = 4 Diem away Stakeholders 250000 ( True) +70 = 30000 Travel costs participants away with assistance of one * 2 * ( 15000True = 95000, Tea break = 10000, Lunch national consultant + 10000True) + = 15000, Stationary = 2500, Venue = (70 participants, Away 50, 70 * 2500True ) * 1 250000, Printing costs = 0, Disseminating 2days, 2 times per year) +0+0 costs = 0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotoring lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- and Evalua- (govern- rency) " 2 2 2 2 2 metation going activities mented tion)" ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 3 To establish the effective CEU, FDA, departmental (1) Coordination meeting to National, Effective technical, N ( 9000* (15 - 5 ) 1 Meeting : Per diem = 9000 Participants 1 communication platform Laboratory- own data, own develop national data bank subnational communication financial and 1,777,500 *1 + 5 * 3 * 30000 = 15 Days = 1, Participants away = - 1,777,500 - - - 1,777,500 MoHS, LBVD- analysis and own for outbreak of food borne platform, its' software + 5 * 95000 + 1 * 5 Days away = 3 Diem away = 30000 MoALI, management and diseases usage and engineering 250000 ( True) +15 Travel costs participants away = 95000, YCDC, NCDC, System. (15 participants, Away 5, data analysis support * 1 * ( 15000True Tea break = 10000, Lunch = 15000, MCDC 1 day ) software are + 10000True) + Stationary = 2500, Venue = 250000, established. 15 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (2) Hiring of IT and Software National, Availability of N 1 * 45 * (80000 + Number = 1 ; No of Days : 45 , Per diem = 1 experts and consultant subnational technical experts 12,600,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 12,600,000 - - - 12,600,000 for database software 12600000 development and data bank establishment (1 national consultant for 45 days (3) Development of database/ National, N 1 software, IT equipments, subnational 33,000,000 - 33,000,000 - - - 33,000,000 internet facilities for National Data Bank Establishment (estimated lumpsum USD 76 25,000) (4) Data training for relevant National, N ( 9000* (40 - 25 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 persons and staff from subnational 8,295,000 *2 + 25 * 4 * 30000 = 40 Days = 2, Participants away = - 16,590,000 16,590,000 16,590,000 16,590,000 66,360,000 different departments + 25 * 95000 + 2 * 25 Days away = 4 Diem away = 30000 ( total 4 times) 250000 ( True) +40 Travel costs participants away = 95000, (40 participants, Away 25, 2 * 2 * ( 15000True Tea break = 10000, Lunch = 15000, days, 4 times) + 10000True) + Stationary = 2500, Venue = 250000, 40 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (5) Stakeholder Coordination National, Number of All relevant N ( 9000* (15 - 5 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 and Review Meeting on subnational Meeting person 1,777,500 *1 + 5 * 3 * 30000 = 15 Days = 1, Participants away = - 3,555,000 3,555,000 3,555,000 3,555,000 14,220,000 effective use of informaiton conducted with participations and + 5 * 95000 + 1 * 5 Days away = 3 Diem away = 30000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) and dat from communication all relevant commitements 250000 ( True) +15 Travel costs participants away = 95000, Platform participants * 1 * ( 15000True Tea break = 10000, Lunch = 15000, (15 participants, Aaway + 10000True) + Stationary = 2500, Venue = 250000, 5, 1 day) 15 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 4 To develop multi- MoHS (CEU, departmental (1) Advocacy meeting to National Strategy and Multisectoral N ( 9000* (20 - 6 ) 1 Meeting : Per diem = 9000 Participants 1 sectoral strategy for FDA, Lab) own control develop Multi-sectoral Guideline involvement and 2,136,000 *1 + 6 * 3 * 30000 = 20 Days = 1, Participants away = - 2,136,000 - - - 2,136,000 National Food Safety & MoALI, management strategy and to organize manual communication + 6 * 95000 + 1 * 6 Days away = 3 Diem away = 30000 Management and YCDC, NCDC, or form task force for developed mechanism, 250000 ( True) +20 Travel costs participants away = 95000, Surveillance system in MCDC development human resources * 1 * ( 15000True Tea break = 10000, Lunch = 15000, line with strengthening (20 partcipants, Away 6, 1 day, and financial + 10000True) + Stationary = 2500, Venue = 250000, of National Codex 1 times) support 20 * 2500True ) * 1 Printing costs = 0, Disseminating structure and process +0+0 costs = 0 (2) Task force meetings to N ( 9000* (16 - 6 ) 1 Meeting : Per diem = 9000 Participants 2 develop draft multi-sectoral 1,940,000 *1 + 6 * 3 * 30000 = 16 Days = 1, Participants away = - 3,880,000 - - - 3,880,000 Strategy ( draft) + 6 * 95000 + 1 * 6 Days away = 3 Diem away = 30000 (15 participants, Away 6, 1 250000 ( True) +16 Travel costs participants away = 95000, day, 4 times) * 1 * ( 15000True Tea break = 10000, Lunch = 15000, + 10000True) + Stationary = 2500, Venue = 250000, 16 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (3) All stakeholders N ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 involvement workshop to 7,360,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = - 7,360,000 - - - 7,360,000 finalize multi-sectoral Strategy + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 (40 participants, Away 20, 2 250000 ( True) +40 Travel costs participants away = 95000, days, 1 times) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, + 10000True) + Stationary = 2500, Venue = 250000, 40 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (4) Dessimination workshop/ National Dessimination N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 1 meeting multi-sectoral meeting 8,085,000 *1 + 30 * 3 * 30000 Participants = 70 Days = 1, Participants - 8,085,000 - - - 8,085,000 Strategy conducted + 30 * 95000 + 1 * away = 30 Days away = 3 Diem away (70 participants per meeting, 250000 ( True) +70 = 30000 Travel costs participants away 35 away, for 2 days) * 1 * ( 15000True = 95000, Tea break = 10000, Lunch + 10000True) + = 15000, Stationary = 2500, Venue = 70 * 2500True ) * 1 250000, Printing costs = 0, Disseminating +0+0 costs = 0 5 Multi-sectoral MoHS (CEU, departmental (1) Identify and analyze the National risk profiling Interest and N 4 4 4 4 collaboration in risk FDA, Lab) own control current food safety problems done by Commitments by - - - - - - profiling of food safety & MoALI, management by each department in their each related Stakeholders problems to strengthen YCDC, NCDC, responsible area at their Home department 77 food safety control MCDC Office (no cost) management system (2) Stakeholders meetings to National Meeting Interest and N ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 establish the Risk Profiles of counducted Commitments by 7,360,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = - 14,720,000 14,720,000 14,720,000 14,720,000 58,880,000 food with safetly problems Stakeholders + 20 * 95000 + 2 * 20 Days away = 4 Diem away = 30000 (40 participants, Away 20, 1 250000 ( True) +40 Travel costs participants away = 95000, day, 4 times) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, + 10000True) + Stationary = 2500, Venue = 250000, 40 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL Surveillance system in place for priortized zoonotic diseases Total TECHNICAL AREA Prevention 5 Biosafety and Biosecurity Estimated cost JEE Indicator P.6.1 Whole-of-government biosafety and biosecurity system is in place for human, animal, and agriculture facilities (USD) JEE Scores 2 15,011,529.81 JEE recommendations * Develop national biosecurity and biosafety legislation, regulations or frameworks Total Estimated cost * Undertake a comprehensive training needs assessment across human, animal and agricultural sectors Total cost per year of implementation (Local * Establishing funding and ensuring sustainability for supporting comprehensive national biosafety and biosecurity system currency) (Kyats) Objective To strengthen biosafety and biosecurity systmem in human, animal, and agriculture sectors 212,380,000 464,248,400 22,213,614,101 263,872,000 263,872,000 23,417,986,501 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Develop Comprehensive MoHS Biosafety (1) Hiring Consultant to National Comprehen- Weakness N 10573200 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 0 10573200 0 0 0 10573200 78 National Biosafety and Guidelines, develop comprehensive sive national in Biosafety + 660000) + = 238920 ; Daily rate = 660000 : Travel Biosecuirty Legislation Myanmar National national biosafety and biosafety & Biorisk 1 * 1584000 = = 1584000 Policy on Health biosecuirty law/legislation for and bi- management 10573200 Laboratories both human, veterinary and osecuirty Agriculture Sectors legislation (1 International consultant was done for 10 days) (2) Stakeholders Workshop/ National Comprehen- Multi sectoral N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 1 meeting on development sive national Participations 9,935,000 *2 + 30 * 4 * 30000 Participants = 50 Days = 2, Participants - 9,935,000 - - - 9,935,000 of national biosafety and biosafety + 30 * 95000 + 2 * away = 30 Days away = 4 Diem away biosecuirty legislation and bi- 250000 ( True) +50 = 30000 Travel costs participants away NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (50 participants per meeting, osecuirty * 2 * ( 15000True = 95000, Tea break = 10000, Lunch 30 away, for 2 days) legislation + 10000True) + = 15000, Stationary = 2500, Venue = was done 50 * 2500True ) * 1 250000, Printing costs = 0, Disseminating +0+0 costs = 0 NHL, MoHS, Other laws/ (3) laws/legislaton approval Naypyitaw Biosafetly Duration of N ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 1 LBVD legislation from Union Parliament and biose- Approval 1,370,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = - approval, (Discussion and defense curity legist- + 5 * 95000 + 1 * 5 Days away = 3 Diem away = 30000 Myanmar National for law in Meetings with laiton/law 250000 ( False) +20 Travel costs participants away = 95000, Policy on Health responsible persons from approved * 1 * ( 15000False Tea break = 10000, Stationary = 2500, Laboratories Parliament, Union Attorney + 10000True) + Print Dis = 60000, Printing costs = 0, General Office and other 20 * 2500True ) * 1 Disseminating costs = 0 stakeholders +0+0 (20 participants, 1 day, 5 times) This activity will be incoperated with Ligislation area activity P.1.2.2.1 (4) One dessimination and National Comprehen- Multi sectoral N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 1 advocacy workshop/meeting sive national Participations 8,085,000 *1 + 30 * 3 * 30000 Participants = 70 Days = 1, Participants - 8,085,000 - - - 8,085,000 for national biosafety and biosafety + 30 * 95000 + 1 * away = 30 Days away = 3 Diem away biosecuirty legislation and bi- 250000 ( True) +70 = 30000 Travel costs participants away (70 participants, 30 away, osecuirty * 1 * ( 15000True = 95000, Tea break = 10000, Lunch 1 day) legislation + 10000True) + = 15000, Stationary = 2500, Venue = was done 70 * 2500True ) * 1 250000, Printing costs = 0, Disseminating +0+0 costs = 0 2 Strengthen MOHS, MOALI Biosafety (1) New building in NHL for National BSL 3 in NHL Duration of Y Government 1 infrastructure of Guidelines, BSL 2& 3 (11 Million Euro) established Construction 18,153,725,469 - - 18,153,725,469 - - 18,153,725,469 biosafety and biosecurity Myanmar National Time facilities Central and Policy on Health in States/Regional Laboratories laboratories (2) Equipment & incerators ( National Equipements Duration of Y Government 1 1.8 Million Euro) for NHL procured and procurement 2,970,774,044 - - 2,970,774,044 - - 2,970,774,044 installled Time (3) Operating cost (0.5 Million National Expenditure Duration of Y Government 1 Euro) NHL used per waiting for 825,242,588 - - 825,242,588 - - 825,242,588 year budget (4) Provided essential National & Number of Financial support N 8 8 6 6 6 laboratory facilities : Biosafety subnational HAI cases 7,400,000 59,200,000 59,200,000 44,400,000 44,400,000 44,400,000 251,600,000 cabinets to States/Regional decreased labs for both human & Number of veterinary sector laboratory (1 for each sector) at State and 79 Region with Biosafetly Cabinet (5) Provided essential National & Number of Financial support N 8 8 6 6 6 laboratory facilities : Waste subnational HAI cases 4,600,000 36,800,000 36,800,000 27,600,000 27,600,000 27,600,000 156,400,000 management including decreased Autoclaves to States/Regional Number of labs for both human & laboratory veterinary sector at State (1 for each sector) and Region with Waste Mangement system NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (6) Provided essential National & Number of Procurement and N 1 1 1 1 1 laboratory facilities : subnational HAI cases Courier contract 5,100,000 5,100,000 5,100,000 5,100,000 5,100,000 5,100,000 25,500,000 three-layer sample packaging decreased system boxes to States/Regional labs Number of for both human & veterinary laboratory sector at State ( 3 each for States/Regions for and Region both human & veterinary) ( 3 with Sample * 34 areas) packaging ( Need to check annual boxes stockpile to decide whether it needs to buy in next budget year) No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (7) Transportation costs to Time will take for N 1 1 1 1 1 states/regions for biosafety & Number of transporation 1,700,000 1,700,000 1,700,000 1,700,000 1,700,000 1,700,000 8,500,000 biosecurity equipments laboratory (100,000 MMK for each State at State and and Region) Region with recipts of equipment (8) Regular maintainance and National & Number of Regular Follow N 100000*(34+26) 60 60 60 60 60 calibration of equipment subnational equipments upo 100,000 6,000,000 6,000,000 6,000,000 6,000,000 6,000,000 30,000,000 (34+ 26) 60 cabinets maitainance (100,000 MMK per cabinet) and califbra- tion done (9) Provided essential National & Number of Time for N 1 1 1 1 1 laboratory facilities : PPEs to subnational laboratory distribution 80,000,000 80,000,000 80,000,000 80,000,000 80,000,000 80,000,000 400,000,000 States/Regional labs for both with PPE human & veterinary sector ( Need to check annual stockpile to decide whether it needs to buy in next budget year) 80 3 Strengthen biosafety (1) Provided essential Number of Time for N 12 & biosecurity system: laboratory facilities : Biosafety Laboratory distribution 7,400,000 - 88,800,000 - - - 88,800,000 Operationalise cross- cabinets to border area at border 12 border manual on bio- hospitals township threat surveillance (12 tsp) with Biosafe- ty Cabinet Number of HCAI case prevented and de- creased (2) Provided essential Number of Time for N 12 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) laboratory facilities : Waste Laboratory distribution 4,600,000 - 55,200,000 - - - 55,200,000 management including at border 12 Autoclaves to border area township hospitals with Waste (12 tsp) Manage- ment Number of HCAI case prevented and de- creased 4 Strengthen biosafety & (1) M & E visits for Biosafety National Number of Tight Schedules N 2 * 3 * 31000 + 2 * 10 10 10 10 10 biosecurity system and Biosecurity practices at & Subna- M & E visit for focal persons 850,000 95000 + 1 * 132000 8,500,000 8,500,000 8,500,000 8,500,000 8,500,000 42,500,000 Laboratoryies tional done * 3 + 3 * 1 * 26000 (2 people, 3-day per visit) = 850000 (2) Hiring of International national New area for the N 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 Cosultant to develop a national electronic system 10,573,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 10,573,200 - - - 10,573,200 electronic inventory system of inventory 1 * 1584000 = = 1584000 chemicals/infectious agents/ system of 10573200 other harmful materials with chemicals/ potential for malicious use infectious as one health approaches- agents/other human, animal health and harmful ma- agriculture terials with (1International consultant, 10 potential for days, 1 visit) malicious use done (3) Stakeholders Workshop/ National national N ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 1 meeting on Develop a national electronic 9,935,000 *2 + 30 * 4 * 30000 Participants = 50 Days = 2, Participants - 9,935,000 - - - 9,935,000 electronic inventory system of inventory + 30 * 95000 + 2 * away = 30 Days away = 4 Diem away chemicals/infectious agents/ system of 250000 ( True) +50 = 30000 Travel costs participants away other harmful materials with chemicals/ * 2 * ( 15000True = 95000, Tea break = 10000, Lunch potential for malicious use infectious + 10000True) + = 15000, Stationary = 2500, Venue = (50 participants per meeting, agents/other 50 * 2500True ) * 1 250000, Printing costs = 0, Disseminating 35 away, for 2 days) harmful ma- +0+0 costs = 0 terials with potential for malicious use done (4) one dessimination National national N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 1 workshop/meeting fornational electronic 8,085,000 *1 + 30 * 3 * 30000 Participants = 70 Days = 1, Participants - 8,085,000 - - - 8,085,000 electronic inventory system of inventory + 30 * 95000 + 1 * away = 30 Days away = 3 Diem away chemicals/infectious agents/ system of 250000 ( True) +70 = 30000 Travel costs participants away other harmful materials with chemicals/ * 1 * ( 15000True = 95000, Tea break = 10000, Lunch 81 potential for malicious use infectious + 10000True) + = 15000, Stationary = 2500, Venue = (70 participants per meeting, agents/other 70 * 2500True ) * 1 250000, Printing costs = 0, Disseminating 35 away, for 2 days) harmful ma- +0+0 costs = 0 terials with potential for malicious use done (5) Training on electronic National Number of Regular Follow N ( 9000* (0 - 30 ) *2 1 Training : Per diem = 9000 Participants 4 4 4 4 inventory system of chemicals/ staff trainied up for trainees for 6,410,000 + 30 * 4 * 30000 + = 0 Days = 2, Participants away = 30 - 25,640,000 25,640,000 25,640,000 25,640,000 102,560,000 infectious agents/other for national functiong of the 30 * 95000 + 2 * Days away = 4 Diem away = 30000 harmful materials with electronic system 250000 ( True) +0 Travel costs participants away = 95000, potential for malicious use for inventory * 2 * ( 15000True Tea break = 10000, Lunch = 15000, NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) laboratory staffs system of + 10000True) + Stationary = 2500, Venue = 250000, (30 participants, Away 30, 2 chemicals/ 0 * 2500True ) * 1 Printing costs = 0, Disseminating days, 4 times/year)) infectious +0+0 costs = 0 agents/other harmful ma- terials with potential for malicious use (6) Meeting on Establishment National Number TWG Time for TWG N ( 9000* (30 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 of Technical Working Group on meeting on member 4,865,000 *1 + 20 * 3 * 30000 = 30 Days = 1, Participants away = - 9,730,000 9,730,000 9,730,000 9,730,000 38,920,000 biorisk/biosafety management Biosafety + 20 * 95000 + 1 * 20 Days away = 3 Diem away = 30000 and regular Bi-annual Meeting and Biosecu- 250000 ( True) +30 Travel costs participants away = 95000, (30 particiants, Away 20, 1 rity done * 1 * ( 15000True Tea break = 10000, Lunch = 15000, day, 2 time per year) + 10000True) + Stationary = 2500, Venue = 250000, 30 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 JEE Indicator P.6.2 Biosafety and biosecurity training and practices JEE Scores 1 JEE recommendations * Develop national biosecurity and biosafety legislation, regulations or frameworks * Undertake a comprehensive training needs assessment across human, animal and agricultural sectors * Establishing funding and ensuring sustainability for supporting comprehensive national biosafety and biosecurity system Objective To develop and promote the capacities person related to Biosafetly and Biosecurity No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Building capacity by (1) Basic training on Biosafety National number of Budget N ( 9000* (30 - 25 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 2 provision of Training and Biosecurity (TOT) for staff trained 7,540,000 *2 + 25 * 4 * 30000 = 30 Days = 2, Participants away = 15,080,000 15,080,000 15,080,000 15,080,000 15,080,000 75,400,000 Program on Biosafety human and animal sectors for biosafetly + 25 * 95000 + 2 * 25 Days away = 4 Diem away = 30000 and Biosecurity (30 participants, Away 25, 2 and biose- 250000 ( True) +30 Travel costs participants away = 95000, days, 2 times per year) curity * 2 * ( 15000True Tea break = 10000, Lunch = 15000, + 10000True) + Stationary = 2500, Venue = 250000, 30 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (2) Refresher training National number of Budget N ( 9000* (30 - 25 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 Biosafety and Biosecurity staff trained 7,540,000 *2 + 25 * 4 * 30000 = 30 Days = 2, Participants away = - - 15,080,000 15,080,000 15,080,000 45,240,000 82 for human sector and animal (referesher) + 25 * 95000 + 2 * 25 Days away = 4 Diem away = 30000 sectors for biosafetly 250000 ( True) +30 Travel costs participants away = 95000, (30 participants, Away 25, 2 and biose- * 2 * ( 15000True Tea break = 10000, Lunch = 15000, days, 2 times per year) curity + 10000True) + Stationary = 2500, Venue = 250000, 30 * 2500True ) * 1 Printing costs = 0, Disseminating +0+0 costs = 0 (3) Multiplier training on National number of Budget N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 Biosafety and Biosecurity for staff trained 4,865,000 *2 + 15 * 4 * 30000 = 20 Days = 2, Participants away = - - 9,730,000 9,730,000 9,730,000 29,190,000 human sector as multiplier + 15 * 95000 + 2 * 15 Days away = 4 Diem away = 30000 (30 participants, Away 15, 2 for biosafetly 250000 ( True) +20 Travel costs participants away = 95000, days, 2 times per year) (at 17 and biose- * 2 * ( 15000True Tea break = 10000, Lunch = 15000, hospital for each year) curity + 10000True) + Stationary = 2500, Venue = 250000, 20 * 2500True ) * 1 Printing costs = 0, Disseminating NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) +0+0 costs = 0 (4) International fellowship Interna- number Budget N 1000+2000+2800 2 2 2 2 program on Biosafety and tional of staff 7,656,000 - 15,312,000 15,312,000 15,312,000 15,312,000 61,248,000 Biosecurity trained on 1 weeks internaitonal Travel cost @ 1000USD programfor Tuition @2,000 biosafetly Perdiem and accomodation and biose- @ 2,800 curity 2 people per year - - - - - - MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 PREVENT General Objective: To prevent and reduce the likelihood of outbreaks and other public health hazards and events defined by IHR (2005). GOAL Surveillance system in place for priortized zoonotic diseases Total TECHNICAL AREA 1.7 Immunization Estimated cost JEE Indicator 1.7.1 Vaccine coverage (measles) as part of national program (Score 3 ) (USD) JEE Scores 3 46,746,771.74 JEE recommendations * Conduct an EPI coverage survey Total Estimated cost * Develop a strategy/plan to cover the low coverage areas Total cost per year of implementation (Local * Strengthen HR capacity for supply, operations and mid-level management/ supervision currency) * Develop communication plan for demand generation (Kyats) To strengthen immunization program management, human resources, financing and service delivery to provide equitable service to all target population Objective - 25,288,423,881 29,651,603,675 17,984,936,365 - 72,924,963,920 including special strategy for peri-urban, slum, migratory population, geographically and socially hard to reach and conflict area No Summary of Planned "Responsi- Related "Detailed activities Where "Output indicators Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the (Monotoring and Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / action to Evaluation)" lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- (govern- rency) " 2 2 2 2 2 metation going activities mented ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 83 1 Strengthen leadership EPI pro- cMYP (2017 (1) Development and Revision of National Y Gavi HSS 2 1 1 1 management capacity gramme -2021) , HSS2 training package, MLM, IIP, VM, RM, Grant 84,285,093 - 84,285,093 84,285,093 84,285,093 - 252,855,280 and coordination Manger , proposal CC, Surveillance and DM WHO (2) Training of master trainers National, Y Gavi HSS 2 1 1 1 Sub-Na- Grant 23,504,880 - 23,504,880 23,504,880 23,504,880 - 70,514,640 tional (3) Improvement of EPI office National Y Gavi HSS 2 1 Grant 523,500,720 - 523,500,720 - - - 523,500,720 (4) Multi levlel Management train- National, Y Gavi HSS 2 1 1 1 ing to Township Medical Officer Sub-Na- Grant 96,923,573 - 96,923,573 96,923,573 96,923,573 - 290,770,720 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) tional (5) Develop capacity building of National, Y Gavi HSS 2 1 1 1 Basic Health Workers through IIP Sub-Na- Grant 660,414,640 - 660,414,640 660,414,640 660,414,640 - 1,981,243,920 trainings at all level tional (6) Review meetings and devel- Sub-Na- Number of Townships Y Gavi HSS 2 1 1 1 opment of operational plan at tional with annual immuniza- Grant 749,308,773 - 749,308,773 749,308,773 749,308,773 - 2,247,926,320 township levels tion operational plan. (7) Review meetings and develop- Sub-Na- Y Gavi HSS 2 1 1 1 ment of operational plan at SR levels tional Grant 133,858,000 - 133,858,000 133,858,000 133,858,000 - 401,574,000 (8) Review meetings and devel- National Y Gavi HSS 2 1 1 1 opment of operational plan at Grant 56,113,147 - 56,113,147 56,113,147 56,113,147 - 168,339,440 Central level No Summary of Planned "Responsi- Related "Detailed activities Where "Output indicators Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the (Monotoring and Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / action to Evaluation)" lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- (govern- rency) " 2 2 2 2 2 metation going activities mented ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (9) Supervision visit for EPI team Sub-Na- Y Gavi HSS 2 1 1 1 leader at township level tional Grant 295,199,787 - 295,199,787 295,199,787 295,199,787 - 885,599,360 (10) Procurement of vehicle National, Y Gavi HSS 2 2 Sub-Na- Grant 63,920,000 0 - - 1,278,400,000 - - 1,278,400,000 tional (11) Deploy finance assistant for National, Y Gavi HSS 2 1 1 1 Central, State/Region Public Health Sub-Na- Grant 181,152,000 - 181,152,000 181,152,000 181,152,000 - 543,456,000 Departments tional (12) Capacity build and orientation National, Y Gavi HSS 2 1 1 1 training on finance for Department Sub-Na- Grant 88,541,440 - 88,541,440 88,541,440 88,541,440 - 265,624,320 of Public Health tional (13) Provision of tools and materials National, Y Gavi HSS 2 1 1 1 for the financial management teams Sub-Na- Grant 108,668,533 - 108,668,533 108,668,533 108,668,533 - 326,005,600 tional (14) Support to Admin and Finance National Y Gavi HSS 2 1 1 1 unit of DOPH for the additional Grant 52,084,373 - 52,084,373 52,084,373 52,084,373 - 156,253,120 financial unit 84 (15) Capacity development of key National Y Gavi HSS 2 1 1 1 EPI staff at all levels through inter- Grant 51,680,000 - 51,680,000 51,680,000 51,680,000 - 155,040,000 national exchange visit, attending international forums/ workshops / tailored made courses to improve skills on various aspects of immuni- zaiton programme management (16) Supervision by Central and National, Number of sessions Y Gavi HSS 2 1 1 1 State/Region Level Supervisors Sub-Na- supervised by state/ Grant 174,420,000 - 174,420,000 174,420,000 174,420,000 - 523,260,000 tional region staff (17) Support M&E team of DOPH National Y Gavi HSS 2 1 1 1 Grant 42,228,453 - 42,228,453 42,228,453 42,228,453 - 126,685,360 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 2 Improve equitable access EPI pro- cMYP (2017 (1) AEFI surveillance,reporting, National, Y Gavi HSS 2 1 1 1 to service delivery gramme -2021) , HSS2 case investigation and casculatiy Sub-Na- Grant 228,787,813 - 228,787,813 228,787,813 228,787,813 - 686,363,440 Manger proposal ,National assessment tional ,Unicef , Strategic plan for WHO Measles , rubella elimination and CRS control (2) Develop strategy in hard to Sub-Na- Number of Township Y Gavi HSS 2 1 1 1 reach areas tional having RHCs with Pen- Grant 45,263,520 - 45,263,520 45,263,520 45,263,520 - 135,790,560 ta3 80% and above and Number of townships reporting drop out rate between Penta 1 and Penta 3 less than 5% (3) GIS based microplanning to National, Proportion of town- Y Gavi HSS 2 1 1 identify hard to reach Sub-Na- ships using GIS based Grant 760,519,480 - 760,519,480 760,519,480 - - 1,521,038,960 tional microplaning map for all immunization microplans (4) Operational support for hard to Sub-Na- Number of Township Y Gavi HSS 2 1 1 1 reach townships tional having RHCs with Pen- Grant 1,039,080,347 - 1,039,080,347 1,039,080,347 1,039,080,347 - 3,117,241,040 ta3 80% and above and Number of townships reporting drop out rate between Penta 1 and Penta 3 less than 5% (5) Integration with private sectors ( Sub-Na- Y Gavi HSS 2 1 1 MMA, MCH ) tional Grant 117,402,000 - 117,402,000 - 117,402,000 - 234,804,000 (6) Support to hospitals Sub-Na- Number of the hospitals Y Gavi HSS 2 1 1 1 tional providing immunization Grant 79,900,000 - 79,900,000 79,900,000 79,900,000 - 239,700,000 services in prioritized townhsips (7) Procurement of furniture and Sub-Na- Y Gavi HSS 2 1 1 1 computures tional Grant 291,649,280 - 291,649,280 291,649,280 291,649,280 - 874,947,840 (8) Support Immunization and social Sub-Na- Y Gavi HSS 2 2 4 4 mobilization corner at 1000 RHC tional Grant 920,001 0 0 0 - 184,000,112 368,000,224 368,000,224 - 920,000,560 0 0 0 3 Programme man- EPI pro- cMYP (2017 (1) Financial Management and National, Y Gavi HSS 2 agement gramme -2021) , HSS2 Assurance Oversight at Central and Sub-Na- Grant 219,299,093 1 1 1 - 219,299,093 219,299,093 219,299,093 - 657,897,280 85 Manger , proposal Sub National level tional WHO , unicef Y - - - - - - 4 Strengthen EPI data EPI pro- cMYP , HSS2 (1) Conduct headcount with support Sub-Na- Y Gavi HSS 2 management, Moni- gramme proposal of BHS , volunteers tional Grant 339,766,987 1 1 1 - 339,766,987 339,766,987 339,766,987 - 1,019,300,960 troing and Evalutaion Manger , System WHO , unicef (2) Print and supply MLM, IIP, immu- National, Y Gavi HSS 2 nization registers, charts reports, etc Sub-Na- Grant 360,360,107 1 1 1 - 360,360,107 360,360,107 360,360,107 - 1,081,080,320 tional NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (3) VPD outbreak and response National, Y Gavi HSS 2 Sub-Na- Grant 135,399,787 1 1 1 - 135,399,787 135,399,787 135,399,787 - 406,199,360 tional (4) Support VPD Surveillance National, Percentage of townships Y Gavi HSS 2 Sub-Na- reporting discarded Grant 378,148,000 1 1 1 - 378,148,000 378,148,000 378,148,000 - 1,134,444,000 tional non-measles non-rubel- la rate 2/ 100,000 pop- ulation and Proportion of township achieved targeted indicators for VPD surveillance (5) EPI covearage survey/National National, Y Gavi HSS 2 EPI programme review Sub-Na- Grant 693,147,120 1 - 693,147,120 - - - 693,147,120 tional No Summary of Planned "Responsi- Related "Detailed activities Where "Output indicators Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the (Monotoring and Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / action to Evaluation)" lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- (govern- rency) " 2 2 2 2 2 metation going activities mented ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (6) Operational research Sub-Na- Y Gavi HSS 2 tional Grant 107,893,333 1 1 1 - 107,893,333 107,893,333 107,893,333 - 323,680,000 (7) End of grant evaluation National, Y Gavi HSS 2 Sub-Na- Grant 98,212,400 1 - - - 98,212,400 - 98,212,400 tional (8) Management information system National, Proportion of townships Y Gavi HSS 2 development and expansion espei- Sub-Na- that introduced eLMIS Grant 682,634,773 1 1 1 - 682,634,773 682,634,773 682,634,773 - 2,047,904,320 cally at at Central and sub-depots as tional well as township cold stores(eLMIS) (9) Technical support for Health National Y Gavi HSS 2 Information System Grant 108,800,000 1 1 1 - 108,800,000 108,800,000 108,800,000 - 326,400,000 (10) Support Midwives to improve Sub-Na- Y Gavi HSS 2 immunization supply chain and tional Grant 2,040,873,120 1 1 - 2,040,873,120 2,040,873,120 - - 4,081,746,240 coverage data management by providing Andriod tablet to access DHIS II , eLMIS, other key health messages (11) Data quality self-assessment National, Y Gavi HSS 2 86 Sub-Na- Grant 144,706,720 1 1 - 144,706,720 - 144,706,720 - 289,413,440 tional (12) Support implementation of National, Y Gavi HSS 2 data quailty improvement plan Sub-Na- Grant 278,348,027 1 1 1 - 278,348,027 278,348,027 278,348,027 - 835,044,080 tional 5 Strengthen demand for EPI pro- cMYP (2017 (1) Advocacy meeting with State Sub-Na- Y Gavi HSS 2 1 1 1 immunization services gramme -2021) , HSS2 and Region administration and tionl Grant 23,800,000 - 23,800,000 23,800,000 23,800,000 - 71,400,000 ,UNICEF, proposal stakeholders (including EHOs, ELCA, WHO religious leaders, etc) to increase support for immunization service delivery. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (2) Support advocacy meeting at Sub-Na- Y Gavi HSS 2 1 1 1 Township level with administrators, tionl Grant 74,325,813 - 74,325,813 74,325,813 74,325,813 - 222,977,440 NGOs and other stakeholders to increaase support for immunization servive delivery (3) Organize meetings and work- National Y Gavi HSS 2 1 1 1 shops for review and updating Grant 7,954,640 - 7,954,640 7,954,640 7,954,640 - 23,863,920 communication plan of action for stregthening routine immunization. (4) Support MoHS in the develop- National Y Gavi HSS 2 1 1 ment and implementation of new Grant 219,640,000 - - 219,640,000 219,640,000 - 439,280,000 innovations for generating demands on immunization services (5) Support development, designing, National, Y Gavi HSS 2 1 1 1 piloting, production and distribution Sub-Na- Grant 217,406,880 - 217,406,880 217,406,880 217,406,880 - 652,220,640 of multi-channel communication tional materials with harmonized theme at national level (6) Support MOHS in assessment, National, Y Gavi HSS 2 1 1 1 development, prototyping, im- Sub-Na- Grant 217,406,880 - 217,406,880 217,406,880 217,406,880 - 652,220,640 plementation, and monitoring of tional contextualized communication plan of actions in ethnics and socially distanced communities by using human-centered design thinking approach (7) Development and roll out of National, Y Gavi HSS 2 1 1 1 Social Media Strategy on demand Sub-Na- Grant 77,157,333 - 77,157,333 77,157,333 77,157,333 - 231,472,000 creation for immunization tional (8) Development, piloting and scal- National, Y Gavi HSS 2 1 ing up of school-based communica- Sub-Na- Grant 558,096,400 - 558,096,400 - - - 558,096,400 tion interventions on immunization tional (9) Development and implementa- National, Y Gavi HSS 2 1 1 1 tion of Risk Communication Strategy Sub-Na- Grant 69,586,667 - 69,586,667 69,586,667 69,586,667 - 208,760,000 tional (10) Increase awareness among Sub-Na- Y Gavi HSS 2 1 1 caregivers and BHS on immunization tional Grant 93,330,000 - - 93,330,000 93,330,000 - 186,660,000 through Installation of Minibill- boards at RHC and SRHCs. 87 (12) Community mobilization Sub-Na- Y Gavi HSS 2 1 1 1 tional Grant 528,000,053 - 528,000,053 528,000,053 528,000,053 - 1,584,000,160 (13) Roll out of communication National, Y Gavi HSS 2 1 1 1 campaign to stregthen routine Sub-Na- Grant 36,266,667 - 36,266,667 36,266,667 36,266,667 - 108,800,000 immunization through multiple tional communication channels. (14) Development of IPC/I package, National, Y Gavi HSS 2 1 1 1 Roll out of IPC/I training and Sub-Na- Grant 61,622,053 - 61,622,053 61,622,053 61,622,053 - 184,866,160 companion package at central and tional State/Region level and monitoring/ supportive supervision to ensure NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) application of IPC/I skills by BHS. (15) Enhance capacity of BHS to Sub-Na- Y Gavi HSS 2 1 1 dialogue with caregivers on im- tional Grant 124,717,440 - - 124,717,440 124,717,440 - 249,434,880 portance of immunization through Interpersonal communication (IPC) skills training. (16) Support MoHS in the planning National Y Gavi HSS 2 1 1 1 and implementation of KAP Grant 64,848,427 - 64,848,427 64,848,427 64,848,427 - 194,545,280 assessment (17) Facilitate Health talk per villag- Sub-Na- Y Gavi HSS 2 1 1 1 es using dance, road show, street tional Grant 108,528,000 - 108,528,000 108,528,000 108,528,000 - 325,584,000 theater (every alternate month in selected villages). No Summary of Planned "Responsi- Related "Detailed activities Where "Output indicators Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the (Monotoring and Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / action to Evaluation)" lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- (govern- rency) " 2 2 2 2 2 metation going activities mented ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (18) Assessment on knowledge, atti- Sub-Na- Percentage of caregivers Y Gavi HSS 2 1 1 tude and practice (KAP) for different tional knowing about benefit Grant 204,000,000 - 204,000,000 - 204,000,000 - 408,000,000 geographic areas and different of immunization tho- ethinic groups). rugh KAP study (19) Monitoring and evaluation National Y Gavi HSS 2 1 1 1 of multi-channel communication Grant 25,785,600 - 25,785,600 25,785,600 25,785,600 - 77,356,800 interventions (20) IPC training on MMCWA Sub-Na- Y Gavi HSS 2 1 1 volunteers tional Grant 110,599,960 - 110,599,960 - 110,599,960 - 221,199,920 (20) Increase awareness on immu- National, Y Gavi HSS 2 1 1 1 nization through commemoration Sub-Na- Grant 27,034,080 - 27,034,080 27,034,080 27,034,080 - 81,102,240 of international immunization days tional event (including global Immuniza- tion week). (21) Increase support to immu- National Y Gavi HSS 2 1 1 1 nization service delivery through Grant 50,704,880 - 50,704,880 50,704,880 50,704,880 - 152,114,640 Advocacy Meetings facilitated by cEPI to Government, INGOs /NGOs, professional bodies and special 88 administrative regions and other relevant stakeholders (22) Facilitation Meeting of school Sub-Na- Y Gavi HSS 2 1 teachers in identification of under tional Grant 533,045,200 - - 533,045,200 - - 533,045,200 vaccinated children at school entry JEE Indicator 1.7.2 National vaccine access and delivery (score 4 ) JEE Scores 4 JEE recommendations * Conduct an EPI coverage survey * Develop a strategy/plan to cover the low coverage areas NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) * Strengthen HR capacity for supply, operations and mid-level management/ supervision * Develop communication plan for demand generation Objective To strengthen immunization program management, human resources, financing and service delivery to provide equitable service to all target population including special strategy for peri-urban, slum, migratory population, geographically and socially hard to reach and conflict area 1 Implement Cold Chain EPI pro- EVM improvement (1) Procurement of Container/Box Sub-Na- Y Gavi HSS 2 2 Expansion and Improve- gramme plan , CCEOP , trucks for CCR and 23 Sub-depots tional Grant 40,800,000 5 - - 1,020,000,000 - - 1,020,000,000 ment Plan ,UNICEF, HSS2 , cMYP WHO (2) Support procurement and National, Y Gavi HSS 2 6 5 installation of cold rooms (40m3 for Sub-Na- Grant 69,854,545 - - 419,127,273 349,272,727 - 768,400,000 central cold room and 10/20 m3 for tional sub-depot (3) Phase Servo Stablizers (15 KVA) Sub-Na- Y Gavi HSS 2 6 5 shipped and installed tional Grant 2,720,000 - - 16,320,000 13,600,000 - 29,920,000 (4) Purchase 150 KVA generating set Sub-na- Y Gavi HSS 2 1 with auto start to provide back up tional Grant 95,200,000 - 95,200,000 - - - 95,200,000 power to 8 cold rooms (5) Support in preventing fire in cold Sub-Na- Y Gavi HSS 2 3 chain store through provision of fire tional Grant 272,000 5 - 96,016,000 - - - 96,016,000 extinguisher. 3 (6) Ensure cold chain are protected Sub-Na- Y Gavi HSS 2 8 6 through procurement and installa- tional Grant 136,000 1 9 - 11,016,000 95,064,000 - - 106,080,000 tion of voltage stablizer. 9 (7) Procure and install vaccine refrig- Sub-Na- Proportion of RHCs in Y Gavi HSS 2 1 2 erators (VLS 200A) tional hard to reach areas (in Grant 2,472,480 5 1 - 37,087,200 51,922,080 - - 89,009,280 priritized townships) equipped with at least one refrigerator for vaccine storage (8) Purchase long term passive Sub-Na- Y Gavi HSS 2 5 storage devices (35 days) tional Grant 4,138,480 0 - - 206,924,000 - - 206,924,000 (9) Support electrification of health Sub-Na- Y Gavi HSS 2 4 4 4 facilities in remote hard to reach tional Grant 2,720,000 0 0 0 - 108,800,000 108,800,000 108,800,000 - 326,400,000 areas ( including provision of solar power system/minigird ) to increase access to vaccines throughout the month (10) Technical support and faciliation National Y Gavi HSS 2 1 1 1 of operations for management of Grant 850,000,000 - 850,000,000 850,000,000 850,000,000 - 2,550,000,000 89 cold chain installation, repair and maintenan, inventory management (11) Additional 7% freight charges National Y Gavi HSS 2 1 1 Grant 144,731,200 - 144,731,200 144,731,200 - - 289,462,400 (12) Spareparts for the new and Sub-Na- Y Gavi HSS 2 1 replaced refrigerators (15% of all tional Grant 337,552,000 - - 337,552,000 - - 337,552,000 equipments) (13) Modernize and expand central National, Y Gavi HSS 2 8 vaccine store ( CCR ) through con- Sub-Na- Grant 322,917 4 - 271,250,640 - - - 271,250,640 struction 840m2 new cold rooms. tional 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (14) Create storage space of 1800 m2 National, Y Gavi HSS 2 1 1 buidling for dry goods (expansion Sub-Na- Grant 322,917 0 8 - 335,833,841 581,250,879 - - 917,084,720 of central vaccine store) and (1040 tional 4 0 m2 building for dry goods for 0 0 sub-depots). (15) Construction of Structure to Sub-Na- Y Gavi HSS 2 2 3 2 house 7 additional cold room in tional Grant 484,376,046 - 968,752,091 1,453,128,137 968,752,091 - 3,390,632,320 selected sub-depots. (16) Utility and equipment pluse National, Y Gavi HSS 2 1 1 1 services: power management, Sub-Na- Grant 356,159,973 - 356,159,973 356,159,973 356,159,973 - 1,068,479,920 distribution, etc and fixtures and tional fitting (30%) No Summary of Planned "Responsi- Related "Detailed activities Where "Output indicators Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the (Monotoring and Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / action to Evaluation)" lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- (govern- rency) " 2 2 2 2 2 metation going activities mented ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (17) Central store continuous Sub-Na- Y Gavi HSS 2 1 1 temperature monitoring and alarm tional Grant 6,936,000 6 0 - 110,976,000 69,360,000 - - 180,336,000 system with remote datea commu- nication and 3 years liscence (1700 USD/WIC/yr(smart view cold room temperature monitoring) (18) Temperature mapping kit to cal- Sub-Na- Y Gavi HSS 2 4 ibrate new and existing cold rooms tional Grant 4,760,000 - 19,040,000 - - - 19,040,000 (27 sensors per kit, micro router and connect gate) (19) ColdTrace 5 (CT5) (Nexleaf ) Sub-Na- Y Gavi HSS 2 6 tional Grant 314,160 0 - - 188,496,000 - - 188,496,000 0 (20) Freeze indicators Sub-Na- Proportion of RHCs in Y Gavi HSS 2 5 5 tional prioritised townships Grant 6,800 0 0 - 34,000,000 34,000,000 - - 68,000,000 equipped with tem- 0 0 perature monitoring 0 0 devices in all vaccine refrigerators 90 (21) Computers, UPS, software Sub-Na- Y Gavi HSS 2 2 updates and IT services tional Grant 2,222,240 3 - - 51,111,520 - - 51,111,520 (22) Purchase of solar direct drive Sub-Na- Y Gavi HSS 2 1 vaccine refrigerators (TCW 40 SDD) tional Grant 9,462,880 5 - - 1,419,432,000 - - 1,419,432,000 0 (23) Data communication fees DTR's Sub-Na- Y Gavi HSS 2 1 1 1 with Simm) 3 USD/month and tional Grant 46,169,733 - 46,169,733 46,169,733 46,169,733 - 138,509,200 cold rooms (24) Develop SOP for the manage- National Y Gavi HSS 2 1 ment of shipment follow up and Grant 86,516,400 - 86,516,400 - - - 86,516,400 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) clerance procedures. (25) Technical support and oversight National Y Gavi HSS 2 3 2 2 in contract and procurement man- Grant 92,285,714 - 276,857,143 184,571,429 184,571,429 - 646,000,000 agement by CEPI and Procurment/ supply unit in DoPH. (26) Support distirbution of EPI sup- Sub-Na- Y Gavi HSS 2 1 1 1 plies from Sub-depots to townships tional Grant 359,040,000 - 359,040,000 359,040,000 359,040,000 - 1,077,120,000 (27) Procurement of cold van Sub-Na- Y Gavi HSS 2 2 2 4 tional Grant 81,600,000 - 163,200,000 163,200,000 326,400,000 - 652,800,000 (28) Operation and maintenance National Y Gavi HSS 2 1 1 1 for transport operation (7%) and Grant 26,928,000 - 26,928,000 26,928,000 26,928,000 - 80,784,000 spareparts for transport equipment (15%) (29) Procurement of motorcycle Sub-Na- Y Gavi HSS 2 1 1 tional Grant 990,080 5 7 - 1,485,120,000 1,707,888,000 - - 3,193,008,000 0 2 0 5 (30) Operation support for Sub-Na- Y Gavi HSS 2 1 1 1 implementing catch up strategy ( tional Grant 1,242,931,200 - 1,242,931,200 1,242,931,200 1,242,931,200 - 3,728,793,600 including crash immunization ) in low performing areas (31) Technical support provided by National Y Gavi HSS 2 1 1 1 immunization cold chain experts in Grant 489,600,000 - 489,600,000 489,600,000 489,600,000 - 1,468,800,000 EVM IP implementation, Strategic assessments and programme designs (32) National consultant/staff to National Y Gavi HSS 2 1 1 1 support Data, outsourced contract Grant 163,232,640 - 163,232,640 163,232,640 163,232,640 - 489,697,920 management, development of SOPs,etc (33) Waste management introduc- Sub-Na- Y Gavi HSS 2 1 1 1 tion and pilot testing for further tional Grant 307,632,000 - 307,632,000 307,632,000 307,632,000 - 922,896,000 expansion (34) Support development national National Y Gavi HSS 2 1 1 1 waste management operational Grant 131,466,667 - 131,466,667 131,466,667 131,466,667 - 394,400,000 plan and the strategy for scale up of the pilot project based on the lesson learnt and recommendations. 91 (35) Assessment of the implementa- Sub-Na- Y Gavi HSS 2 1 1 1 tion on EVM improvement plan tional Grant 36,030,027 - 36,030,027 36,030,027 36,030,027 - 108,090,080 (36) Operation cost for conducting National, Y Gavi HSS 2 1 1 EVMA assessment and develop IP Sub-Na- Grant 218,222,200 - - 218,222,200 218,222,200 - 436,444,400 tional (37) Provide vaccinator training on National, Percentage of Cold Y Gavi HSS 2 1 1 VVM, SOP, MDVP, Cool Pack, Fore- Sub-Na- Chain Key persons Grant 556,418,160 - 556,418,160 - 556,418,160 - 1,112,836,320 casting, waste management, FT2 tional trained on cold chain training (EVM E2-E9 training) and vaccine manage- ment. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (38) Supervisor training SOP, MDVP, National, Y Gavi HSS 2 1 Cool Pack, Foreasting, waste man- Sub-Na- Grant 89,743,680 - - 89,743,680 - - 89,743,680 agement, FT-2 training, EVM E2-E9 tional (39) Operation support for supervi- National, Y Gavi HSS 2 1 1 1 sion of Cold Chain Key Persons ( CCR, Sub-Na- Grant 153,059,840 - 153,059,840 153,059,840 153,059,840 - 459,179,520 Sub-Depots, Townships ) tional (40) Enhance skills on immunization National, Y Gavi HSS 2 1 1 supply chain through vaccine Sub-Na- Grant 272,299,200 - 272,299,200 - 272,299,200 - 544,598,400 Logistics Management Information tional System (vLMIS) Training (41) Preparation training modules National Y Gavi HSS 2 1 1 printing.etc Grant 68,000,000 - 68,000,000 - 68,000,000 - 136,000,000 No Summary of Planned "Responsi- Related "Detailed activities Where "Output indicators Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the (Monotoring and Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / action to Evaluation)" lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- (govern- rency) " 2 2 2 2 2 metation going activities mented ment, 0 0 0 0 0 including (National donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (42) Support vaccine transport from Sub-Na- Y Gavi HSS 2 1 1 1 townships to RHCs ,Sub Centers tional Grant 97,920,000 - 97,920,000 97,920,000 97,920,000 - 293,760,000 through third party logistics provider in pilot townships (43) Purchase 50-100 KVA gener- Sub-Na- Y Gavi HSS 2 5 1 ating set with auto start to provide tional Grant 29,920,000 - 149,600,000 29,920,000 - - 179,520,000 back up power to 6 Sub-depots (44) Ensure cold chain are protected Sub-Na- Y Gavi HSS 2 9 through procurement and installa- tional Grant 136,000 7 - 13,192,000 - - - 13,192,000 tion of voltage stablizer. (45) Procure and install vaccine Sub-Na- Y Gavi HSS 2 5 2 refrigerators (VLS 200A) tional Grant 1,632,000 0 5 - - 81,600,000 408,000,000 - 489,600,000 0 (46) Procure and install vaccine Sub-Na- Y Gavi HSS 2 5 4 refrigerators (VLS 400A) tional Grant 2,040,000 0 2 - - 102,000,000 85,680,000 - 187,680,000 (47) Procure and install vaccine Sub-Na- Y Gavi HSS 2 5 refrigerators (VLS 400A) tional Grant 2,964,800 2 - - 154,169,600 - - 154,169,600 92 (50) Freeze protected vaccine carriers Sub-Na- Y Gavi HSS 2 1 2 tional Grant 81,600 5 0 - 122,400,000 163,200,000 - - 285,600,000 0 0 0 0 (51) Purchase solar direct drive vac- Sub-Na- Y Gavi HSS 2 1 7 cine refrigerators (TCW 2043 SDD) tional Grant 14,022,960 - 14,022,960 98,160,720 - - 112,183,680 (52) Purchase solar direct drive vac- Sub-Na- Y Gavi HSS 2 2 cine refrigerators (TCW 2043 SDD) tional Grant 12,240,000 0 - - 244,800,000 - - 244,800,000 (53) Purchase solar direct drive vac- Sub-Na- Y Gavi HSS 2 1 3 cine refrigerators (TCW 40 SDD) tional Grant 9,793,360 6 8 - 1,566,937,600 372,147,680 - - 1,939,085,280 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 0 (54) Spareparts for the new and Sub-Na- Y Gavi HSS 2 1 replaced refrigerators tional Grant 279,412,000 - - 279,412,000 - - 279,412,000 (55) Freeze protected vaccine carriers Sub-Na- Y Gavi HSS 2 5 tional Grant 81,600 7 - - 469,200,000 - - 469,200,000 5 0 (56) Freeze protected Cold Box Sub-Na- Y Gavi HSS 2 1 tional Grant 544,000 3 - - 733,312,000 - - 733,312,000 4 8 - - - - - - MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 DETECT General Objective: To do promptly detect threats (due to all hazards) to save lives and ensure proper control measures. GOAL Total TECHNICAL AREA Detect 1 National Laboratory System Estimated cost JEE Indicator D 1.1 Vaccine coverage (measles) as part of national program (Score 3 ) (USD) JEE Scores 3 32,333,141.93 JEE recommendations * Establish and maintain systematic collaboration between human and animal health laboratories, the national laboratory system should be consid- ered one entity * Endorse and implement the National Strategic Plan for Health laboratories (currently drafted) Total Estimated cost * Developing national testing guidelines for clinicians and veterinarians based on financial and practical factual constraints to maximize the capacity Total cost per year of implementation (Local for case diagnosis, indicative surveillance and outbreak contexts currency) * Improve simple testing capability in remote areas, including point of care diagnostics and harvesting the flora of new combined lateral flow tests on (Kyats) the market, but under tight quality control by the central laboratory. To strengthen the organizational & management structures for coordination & integration of laboratory services to support clinical & public health Objective 9,727,058,783 11,425,291,483 9,762,450,383 9,762,450,383 9,762,450,383 50,439,701,415 objectives No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- 93 actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Formation of National NHL, MOHS Myanmar National (1) First Stakeholders meeting National NLCC was Advocacy for Y Devel- ( 9000* (20 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 Laboratory Coordi- Policy on Health on advocacy/awareness to estbalished stakehoder to opment 3,620,000 *1 + 15 * 3 * 30000 = 20 Days = 1, Participants away = 15 - 3,620,000 - - - 3,620,000 nation Committee Laboratories focal person at central level for Number of Understand partners + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel (NLCC) according to processing the establisment stakeholder importance of for- 250000 ( True) +20 costs participants away = 95000, Tea Myanmar National of NLCC according to MNPHL Meetings mation of NLCC * 1 * ( 15000True break = 10000, Lunch = 15000, Station- Policy on Health (20 participants, 15 Away, 1 done + 10000True) + ary = 2500, Venue = 250000, Printing Laboratories (MNPHL) days, 1 times) 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 which has been already +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) endorsed in September 2016 NHL, MOHS Myanmar National (2) 2nd Stakeholders meeting National NLCC com- Advocacy for Y Devel- ( 9000* (20 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 Policy on Health at central level for processing mittee was stakehoder to opment 3,620,000 *1 + 15 * 3 * 30000 = 20 Days = 1, Participants away = 15 - 3,620,000 - - - 3,620,000 Laboratories the finalization of estab- finalized and Understand partners + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel lisment of NLCC according estbalished importance of for- 250000 ( True) +20 costs participants away = 95000, Tea to MNPHL Number of mation of NLCC * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (20 participants, 15 Away, 1 stakeholder + 10000True) + ary = 2500, Venue = 250000, Printing days, 1 times) Meeting 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 done +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost Year of Total Cost Year in Local Currency Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- implementation actions) for Imple- Programe or on be imple- ing and (govern- rency) " metation going activities mented Evalua- ment, 2 2 2 2 2 including (National tion)" donor?) 0 0 0 0 0 2018 2019 2020 2021 2022 TOTAL budget line or sub-na- 1 1 2 2 2 holder" tional) 8 9 0 1 2 NHL, MOHS Myanmar National (3) Quarterly Coordination National Number of Muti task and du- Y Government ( 9000* (20 - 15 ) 1 Meeting : Per diem = 9000 Participants 2 4 4 4 Policy on Health meeting of NLCC stakeholder ties of Members 3,620,000 *1 + 15 * 3 * 30000 = 20 Days = 1, Participants away = 15 - 7,240,000 14,480,000 14,480,000 14,480,000 50,680,000 Laboratories (20 participants, 15 Away, 1 Quarterly + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel days, 4times/year) Meetings 250000 ( True) +20 costs participants away = 95000, Tea * 1 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 2 Finalization on devel- MOHS/ Drafting of (1) Stakeholder meeting to National NSP for Timely Endorse- Y Devel- ( 9000* (50 - 40 ) 1 Meeting : Per diem = 9000 Participants 1 opment of the Drafted MOALI/ Myanmar National finalize the National Strategic for health ment opment 9,115,000 *1 + 40 * 3 * 30000 = 50 Days = 1, Participants away = 40 9,115,000 - - - - 9,115,000 National Strategic MODefence Policy on Health Plan for Health Laboratories ( laboratories partners + 40 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel Plan for Health Lab- Laboratories currently drafted) finalized 250000 ( True) +50 costs participants away = 95000, Tea oratories (NSPHL) ( (50 participants, 40 Away, 1 * 1 * ( 15000True break = 10000, Lunch = 15000, Station- currently drafted) days, 1 times) + 10000True) + ary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NHL, MOHS MOHS (2) Launching and dissemi- National Awareness Y Devel- ( 9000* (60 - 50 ) 1 Meeting : Per diem = 9000 Participants 1 nation workshop/Meetings & subna- and des- opment 11,240,000 *1 + 50 * 3 * 30000 = 60 Days = 1, Participants away = 50 11,240,000 - - - - 11,240,000 for NSPHL tional simination partners + 50 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel 94 (60 participants, 50 Away, 1 of NSP for 250000 ( True) +60 costs participants away = 95000, Tea days, 1 times) health labo- * 1 * ( 15000True break = 10000, Lunch = 15000, Station- ratories was + 10000True) + ary = 2500, Venue = 250000, Printing done 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 3 Develop, Review and NHL, MOHS Existing labora- (1) Meetings/Workshops for National Number of Multisectorial N ( 9000* (40 - 34 ) 1 Workshop : Per diem = 9000 Partici- 1 1 1 1 revise of laboratory tory guidelines review and revise of existing laboratory Participation 10,018,000 *2 + 34 * 4 * 30000 pants = 40 Days = 2, Participants away - 10,018,000 10,018,000 10,018,000 10,018,000 40,072,000 related guidelines and and instructions guidelines on each areas related + 34 * 95000 + 2 * = 34 Days away = 4 Diem away = 30000 instructions. (Infection control (40 participants- away 34, 2 guidelines 250000 ( True) +40 Travel costs participants away = 95000, guideline, waste days at Yangon, 1 times per and * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- management year for every year) instructions + 10000True) + tionary = 2500, Venue = 250000, Printing instruction, bio- reviewd, 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) safetly guideline, revised and +0+0 etc;) developed 4 Strengthening of EQAS NHL, MOHS Myanmar National (1) Training of participants National Number of Infrastructure, Y Multiple de- ( 9000* (0 - 30 ) *2 1 Training : Per diem = 9000 Participants 6 6 6 6 6 for medical laboratories Policy on Health for EQAS & subna- Trainings Human Resource velopment 6,410,000 + 30 * 4 * 30000 + = 0 Days = 2, Participants away = 30 38,460,000 38,460,000 38,460,000 38,460,000 38,460,000 192,300,000 at all levels Laboratories (30 participants, Away 30, 2 tional conducted. Partner (E.g: 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel days, 6 times/year) Number of UNOPS, 250000 ( True) +0 costs participants away = 95000, Tea (2 times each for HIV, Syphllis, participating JICA, WHO) * 2 * ( 15000True break = 10000, Lunch = 15000, Station- CD4 by diffent trainers) laboratories + 10000True) + ary = 2500, Venue = 250000, Printing for EQAS 0 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (2) Transportation, costs of Interna- Number of Human Resource, N 1 1 1 1 1 specimen collection packages, tional, participating Lab facilities, 81,450,000 81,450,000 81,450,000 81,450,000 81,450,000 81,450,000 407,250,000 supplies and participation fees National laboratories Coordination related to EQAS (Virology, Bac- & subna- for EQAS teriology, Fungal, Parasitology, tional Immunology and Clinical Pa- Number of thology departments at NHL) sample sent for EQAS (3) Monitoring & Evaluation Subna- Number of Budget N 2 * 3 * 31000 + 2 * 3 3 3 3 3 visits to follow up hospitals tional participating 850,000 95000 + 1 * 132000 2,550,000 2,550,000 2,550,000 2,550,000 2,550,000 12,750,000 and laboratories under EQAS laboratories * 3 + 3 * 1 * 26000 (2 persons for 3 days, 3 State/ with good = 850000 Region per year) scores in EQAS Number of M &E and Supervision visit done 5 Capacity building of MOHS MOHS (1) International training National Numer of Budget N 2 2 2 2 2 laboratory staffs for di- on updated techology upon & subna- staff trained 6,864,000 13,728,000 13,728,000 13,728,000 13,728,000 13,728,000 68,640,000 agnosis of emerging and diagnosis of emering and tional re-emerging diseases. re-emering diseases for labo- ratory staffs (Total 5200 USD x 2 persons x every years ) (2) Trainings and refresher National Number of Budget N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 trainings for diagnosis of & subna- training con- 4,865,000 *2 + 15 * 4 * 30000 = 20 Days = 2, Participants away = 15 9,730,000 9,730,000 9,730,000 9,730,000 9,730,000 48,650,000 EIDs at national level tional ducted and + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel 95 (20 participants, Away 15, 2 Numer of 250000 ( True) +20 costs participants away = 95000, Tea days, 2 times/year) staff trained * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (3) Training and refresher National Number of Budget N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 training of laboratory techni- & subna- training con- 4,865,000 *2 + 15 * 4 * 30000 = 20 Days = 2, Participants away = 15 9,730,000 9,730,000 9,730,000 9,730,000 9,730,000 48,650,000 cian for sample collection tional ducted and + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel and trasporation according Numer of 250000 ( True) +20 costs participants away = 95000, Tea to Internation Air Trans- staff trained * 2 * ( 15000True break = 10000, Lunch = 15000, Station- port Association (IATA) + 10000True) + ary = 2500, Venue = 250000, Printing guidelines 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (20 participants, Away 15 2 +0+0 days, 2 times/year) 6 Regular supply and MOHS MOHS (1) procurement of equipment, National Number Budget Y Government 1 1 1 1 1 maintainace of labo- supplies and test kits related & subna- and type of 9,401,553,183 9,401,553,183 9,401,553,183 9,401,553,183 9,401,553,183 9,401,553,183 47,007,765,915 ratory equipment and to diagnosis of emerging and tional equipment, reagents. reemerging diseases supplies and test kits procured MOHS MOHS (2) Maintainance & cali- National number of Budget N 70 70 70 70 70 bration of equipment (70) & subna- Maintain- 1,320,000 92,400,000 92,400,000 92,400,000 92,400,000 92,400,000 462,000,000 equipments/year, 1000 USD/ tional ance and equipment calibration of equipment done JEE Indicator D.1.2 Specimen referral and transport system JEE Scores 3 JEE recommendations * Establish and maintain systematic collaboration between human and animal health laboratories, the national laboratory system should be considered one entity * Endorse and implement the National Strategic Plan for Health laboratories (currently drafted) * Developing national testing guidelines for clinicians and veterinarians based on financial and practical factual constraints to maximize the capacity for case diagnosis, indicative surveillance and outbreak contexts * Improve simple testing capability in remote areas, including point of care diagnostics and harvesting the flora of new combined lateral flow tests on the market, but under tight quality control by the central laboratory. Objective To establish & manage quality management system in all laboratories No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Development of MoHS, MoALI Biosafety Guide- (1) Hiring International con- National Consultant Budget N 1 * 5 * (238920 Number = 1 ; No of Days : 5 , Per diem 1 guidelines for specimen lines sultant for the development of Hired for 6,078,600 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel 6,078,600 - - - - 6,078,600 collection, packaging Guidelines Developed 1584000 = 6078600 = 1584000 and transport system (1 person, 5 days) of guidelines for specimen referral and transport system MoHS, MoALI Biosafety Guide- (2) Concensus meeting/work- National Compre- Budget N ( 9000* (50 - 40 ) 1 Meeting : Per diem = 9000 Participants 1 lines shop to develop comprehen- hensive 9,115,000 *1 + 40 * 3 * 30000 = 50 Days = 1, Participants away = 40 - 9,115,000 - - - 9,115,000 96 sive guidelines for specimen guidelines + 40 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel collection, packaging and for specimen 250000 ( True) +50 costs participants away = 95000, Tea transport system referral and * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (50 participants, Away 40, transport + 10000True) + ary = 2500, Venue = 250000, Printing 1 day) system 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 developed +0+0 JEE Indicator D.1.3 Effective modern point of care and laboratory based diagnostics JEE Scores 2 JEE recommendations * Establish and maintain systematic collaboration between human and animal health laboratories, the national laboratory system should be considered one entity * Endorse and implement the National Strategic Plan for Health laboratories (currently drafted) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) * Developing national testing guidelines for clinicians and veterinarians based on financial and practical factual constraints to maximize the capacity for case diagnosis, indicative surveillance and outbreak contexts * Improve simple testing capability in remote areas, including point of care diagnostics and harvesting the flora of new combined lateral flow tests on the market, but under tight quality control by the central laboratory. Objective To establish & manage quality management system in all laboratories 1 Expanding Point of Care MOHS Myanmar National (1) Traing of POC tesing on HIV, National Number of Assess and mon- N ( 9000* (0 - 30 ) *2 1 Training : Per diem = 9000 Participants 6 6 6 6 6 (POC) testing sites at Policy on Health TB and Malaria and subna- POC sites ex- itor the quality 6,410,000 + 30 * 4 * 30000 + = 0 Days = 2, Participants away = 30 38,460,000 38,460,000 38,460,000 38,460,000 38,460,000 192,300,000 decentralized sites Laboratories (30 participants, Away 30, 2 tional pnasion with of point of care 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel days, 2 times/year) POC testing laboratory test 250000 ( True) +0 costs participants away = 95000, Tea Other related and staff results * 2 * ( 15000True break = 10000, Lunch = 15000, Station- testing guidelines (2 times each for HIV, Syphllis, trained Systematic test + 10000True) + ary = 2500, Venue = 250000, Printing and training CD4 by diffent trainers) kit evaluation and 0 * 2500True ) * 1 costs = 0, Disseminating costs = 0 modules validation +0+0 (2) Supervisory visits to subnational Number of Tight schedules N 3 * 3 * 31000 + 3 * 3 3 3 3 3 oversee the point of care POC sites for M & E visit 1,038,000 95000 + 1 * 132000 3,114,000 3,114,000 3,114,000 3,114,000 3,114,000 15,570,000 testing sites under M & * 3 + 3 * 1 * 26000 (3 persons for 3 days, 3 times E visit = 1038000 per year) Number of supervision visit done JEE Indicator D.1.4 Laboratory Quality System JEE Scores 3 JEE recommendations * Establish and maintain systematic collaboration between human and animal health laboratories, the national laboratory system should be considered one entity * Endorse and implement the National Strategic Plan for Health laboratories (currently drafted) * Developing national testing guidelines for clinicians and veterinarians based on financial and practical factual constraints to maximize the capacity for case diagnosis, indicative surveillance and outbreak contexts * Improve simple testing capability in remote areas, including point of care diagnostics and harvesting the flora of new combined lateral flow tests on the market, but under tight quality control by the central laboratory. To establish & manage quality management system in all laboratories Objective To strengthen biosafety/biosecurity in laboratory and health system 1 Develop (Improvement NHL- MOHS, Myanmar National (1) Hiring International Con- National Number of International N 1 * 5 * (238920 Number = 1 ; No of Days : 5 , Per diem 2 2 2 2 of) National Quality LBVD- MOALI Policy on Health sultant for Training on Devel- Lab trained Consultant 6,078,600 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 12,157,200 12,157,200 12,157,200 12,157,200 48,628,800 Standard for Labo- Laboratories opment of Quality Manual with devel- 1584000 = 6078600 = 1584000 ratories for laboratories that do not opment of have manual Accreditation own Quality (1 internaitonal Consultant, manual for 5 days) Laboratory Accreditation (2) Training on Development National Number of International N ( 9000* (20 - 20 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 97 of Quality Manual for Lab trained Consultant 7,200,000 *3 + 20 * 5 * 30000 = 20 Days = 3, Participants away = 20 - 14,400,000 14,400,000 14,400,000 14,400,000 57,600,000 laboratories that do not have with devel- + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel manual Accreditation opment of 250000 ( True) +20 costs participants away = 95000, Tea (20 participants from 20 own Quality * 3 * ( 15000True break = 10000, Lunch = 15000, Station- laboratories, Away 20, 3 days manual for + 10000True) + ary = 2500, Venue = 250000, Printing trainings, 2 times per year) Laboratory 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 Accreditation +0+0 (3) Hiring of International Con- National NHL Quality International Y Government 1 * 5 * (238920 Number = 1 ; No of Days : 5 , Per diem 1 sultant for Review and Revise Manaul re- Consultant 6,078,600 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 6,078,600 - - - 6,078,600 on Quality Manual for NHL viewed and 1584000 = 6078600 = 1584000 (1 internaitonal Consultant, revised for 5 days) Laboratory NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Accreditation (4) Workshop/Meeting on National NHL Quality International Y Government ( 9000* (15 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 Review and Revise on Quality Manaul re- Consultant 3,527,500 *2 + 10 * 4 * 30000 = 15 Days = 2, Participants away = 10 - 3,527,500 - - - 3,527,500 Manual for NHL viewed and + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (15 participant, Away 10, 2 revised for 250000 ( True) +15 costs participants away = 95000, Tea days, 1 times) Laboratory * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Accreditation + 10000True) + ary = 2500, Venue = 250000, Printing 15 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (5) Training for Quality Man- National Number of N ( 9000* (20 - 15 ) 1 Training : Per diem = 9000 Participants 1 2 2 2 2 agement System (QMS) & Subna- Laboratory 4,865,000 *2 + 15 * 4 * 30000 = 20 Days = 2, Participants away = 15 4,865,000 9,730,000 9,730,000 9,730,000 9,730,000 43,785,000 (20 participants, Away 15, 2 tional staff trained + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel days, 2 times/year) on QMS for 250000 ( True) +20 costs participants away = 95000, Tea Laboratory * 2 * ( 15000True+ break = 10000, Lunch = 15000, Station- Accreditation 10000True) + 20 ary = 2500, Venue = 250000, Printing * 2500True ) * 1+ costs = 0, Disseminating costs = 0 0+0 (6) Laboratory accreditation National Number of N 3 for NHL (USD 400,000 for Laboratory 528,000,000 - 1,584,000,000 - - - 1,584,000,000 3 labs) Accreditated 2 Develop National Com- NHL- MOHS, National Health (1) Hiring local experts NHL Expert hired findings of N 1 * 45 * (80000 + Number = 1 ; No of Days : 45 , Per diem = 1 prehesive Electronic LBVD- MOALI Laboratory LIMS (software/database) for for develop- technicial experts 12,600,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 12,600,000 - - - 12,600,000 Health Laboratory development of National ment for software 12600000 Information System Comprehesive Electronic development through Upgrading Health Laboratory Information Laboratory Information System Management System for - Upgrading Laboratory Infor- NHL and development of mation Management System LIMS for other laborato- for NHL and development of rie in country LIMS for other laboratorie 98 in country - Developing Laboratory Imformation Man- agement System NHL- MOHS, National Health (2) Workshop on development NHL Database findings of N ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 LBVD- MOALI Laboratory LIMS of National Comprehensive established technicial experts 7,260,000 *2 + 20 * 4 * 30000 = 40 Days = 2, Participants away = 20 - 14,520,000 - - - 14,520,000 Laboratory Information Number of for software + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel System with local (software/ workshop development 250000 ( True) +40 costs participants away = 95000, Tea database) experts conducted * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (40 participants, 20 Away, 2 + 10000True) + ary = 2500, Venue = 250000, Printing days, 2 times) 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) NHL- MOHS, National Health (3) Development of database/ NHL A Laboratory Procurement of N 1 LBVD- MOALI Laboratory LIMS software, IT equipments, in- Information specification of 33,000,000 - 33,000,000 - - - 33,000,000 ternet facilities for Laboratory System de- IT equipments Information System at NHL veloped and which are really (USD 25,000) functioning needed NHL- MOHS, National Health (4) Training of NHL Staff NHL Number of retaining of N ( 9000* (30 - 10 ) 1 Training : Per diem = 9000 Participants 1 2 2 2 2 LBVD- MOALI Laboratory LIMS on Laboratory Information staff trained trained staff 4,585,000 *2 + 10 * 4 * 30000 = 30 Days = 2, Participants away = 10 4,585,000 9,170,000 9,170,000 9,170,000 9,170,000 41,265,000 System + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (30 participants, 10 Away, 2 250000 ( True) +30 costs participants away = 95000, Tea days, 2 times) * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NHL- MOHS, National Health (5) Annual Maintanince and CEU, SCDUs, Function Inclusion of main- N 1 1 1 1 LBVD- MOALI Laboratory LIMS operation cost of Laboratory LBVD, NHL, data base atance cost to 1,320,000 - 1,320,000 1,320,000 1,320,000 1,320,000 5,280,000 Information System (USD Animal MOHS budget 1000) Lab MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 DETECT General Objective: To do promptly detect threats (due to all hazards) to save lives and ensure proper control measures. GOAL Total TECHNICAL AREA Detect 2 Real Time Surveillance Estimated cost JEE Indicator D. 2.1 Indicator and event based surveillance systems (USD) JEE Scores 4 2,575,316.60 JEE recommendations * Indicator based surveillance needs to include capacity building among primary responders and provide education and follow-up of adherence. Total Estimated cost Total cost per year of implementation (Local currency) (Kyats) Objective To strengthen Indicator- and event based survellance System 759,307,900 1,033,264,500 877,630,500 726,905,500 620,385,500 4,017,493,900 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Capacity building on CEU, LVBD FETP training and (1) Secretariat Meeting to sup- Naypyitaw Number of Availability of Y ( 9000* (20 - 15 ) 1 Meeting : Per diem = 9000 Participants 4 4 4 4 4 99 surveillance activities courses port One Health Committee or yangon Meetings committee mem- 3,620,000 *1 + 15 * 3 * 30000 = 20 Days = 1, Participants away = 15 14,480,000 14,480,000 14,480,000 14,480,000 14,480,000 72,400,000 under one health every 3 months for overseeing done ber for meetings + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel strategic plan including the activities Meeting 250000 ( True) +20 costs participants away = 95000, Tea Rapid Response Team (20 participants, 15 Away, 1 minutes and * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (RRT) Training day, 4times per year) recommen- + 10000True) + ary = 2500, Venue = 250000, Printing dations 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 CEU (2) Bi-Monthly Meeting on Naypyitaw Number of Establishment of Y ( 9000* (5 - 3 ) *1 1 Meeting : Per diem = 9000 Participants 6 6 6 6 6 Surveillance review by one or yangon Monthly one health secre- 710,500 + 3 * 3 * 30000 + = 5 Days = 1, Participants away = 3 Days 4,263,000 4,263,000 4,263,000 4,263,000 4,263,000 21,315,000 health team Meeting tarit team 3 * 95000 + 1 * away = 3 Diem away = 30000 Travel costs (5 participants, 3 aways, 1 day, conducted 250000 ( False) +5 participants away = 95000, Tea break 1 times per month) and Surveil- * 1 * ( 15000True = 10000, Lunch = 15000, Stationary = NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) lance review + 10000True) + 2500, Printing costs = 0, Disseminating reports 5 * 2500True ) * 1 costs = 0 developed +0+0 (3) Conduct Joint surveillance States and Outbreak in- Well trained staff N 10 * 7 * 31000 + 15 15 15 15 15 and outbreak activities with Regions vestigations for joint outbreak 4,226,000 10 * 95000 + 1 * 63,390,000 63,390,000 63,390,000 63,390,000 63,390,000 316,950,000 LBVD and wildlife and control investigation 132000 * 7 + 7 * 1 * (10 members, 7 day visit, for reports 26000 = 4226000 estimated of 10-15 outbreaks) 2 times of this activity are inlcuded in activity P.4.2.1.5 under Zoonotic Disease area No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (4) Training on Rapid Response Naypyitaw Numbers Skill mentors for Y Govern- ( 9000* (60 - 50 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 Team (RRT) and surveillance and SR of RRT staff the trainings ment/Donor 31,330,000 *7 + 50 * 9 * 30000 = 60 Days = 7, Participants away = 50 62,660,000 62,660,000 62,660,000 62,660,000 62,660,000 313,300,000 for health staff trained by (WHO) + 50 * 95000 + 7 * Days away = 9 Diem away = 30000 Travel (60 participants, 50 Away, 7 one health 250000 ( True) +60 costs participants away = 95000, Tea days, 2 times per year, for all approach * 7 * ( 15000True break = 10000, Lunch = 15000, Station- total 120 staff per years) + 10000True) + ary = 2500, Venue = 250000, Printing 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 2 Strengthening of Infor- CEU, LVBD Daily Event, week- (1) Workshop/Meeting to de- Naypyitaw Number of Coperation among N ( 9000* (100 - 80 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 mation sharing mech- ly, monthly DUNS velop SOPs/mechanism for Meeting stakeholders 25,480,000 *1 + 80 * 3 * 30000 = 100 Days = 1, Participants away = 25,480,000 - 25,480,000 - 25,480,000 76,440,000 anism on one health Reports among data sharing and dessiminate conducted + 80 * 95000 + 1 * 80 Days away = 3 Diem away = 30000 including cross border State, Regional to stakeholders for SoP 250000 ( True) +100 Travel costs participants away = 95000, information sharing and Central, - Review and Revise SoPs will development * 1 * ( 15000True Tea break = 10000, Lunch = 15000, be included in consecutive and revision + 10000True) + Stationary = 2500, Venue = 250000, meetings SOPs devel- 100 * 2500True ) * 1 Print Dis = 7500000, Printing costs = 0, (100 participants, 80 Away, oped +0+0 Disseminating costs = 0 1 day, printing of SOPs about 5,000 copies) (2) Annual evaluation Meet- Naypyitaw Annual surveillance N ( 9000* (60 - 40 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 ings for surveillance capacity Meeting s data quality and 12,670,000 *2 + 40 * 4 * 30000 = 60 Days = 2, Participants away = 40 12,670,000 12,670,000 12,670,000 12,670,000 12,670,000 63,350,000 100 (60 participants, 40 Away, conducted functioning of + 40 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel 2 days) Evaluation Mechanism 250000 ( True) +60 costs participants away = 95000, Tea findings are * 2 * ( 15000True break = 10000, Lunch = 15000, Station- dissemi- + 10000True) + ary = 2500, Venue = 250000, Printing nated 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (3) Cross boder coordination Cross No of Comittment Y WHO ( 9000* (30 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 2 meeting to support surveil- border meetings from cross border 6,555,000 *2 + 20 * 4 * 30000 = 30 Days = 2, Participants away = 20 13,110,000 13,110,000 13,110,000 13,110,000 13,110,000 65,550,000 lance at border areas provinence conducted health authorities + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (30 participants, 20 Away, 2 Mechanism and health staff 250000 ( True) +30 costs participants away = 95000, Tea days, 2 times per year) Functioned * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 3 Revise and update CEU FETP Modules/ (1) Hiring of National Con- Naypyitaw Guidelines Findings of N 1 * 80 * (80000 + Number = 1 ; No of Days : 80 , Per diem = 1 communicable diseases, training and sultant to Revise and update evised and consultant with 22,400,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 22,400,000 - - - 22,400,000 zoonoses guidelines, courses guidelines and SoPs - food updated appropriate 22400000 and training to Special poisoning, disease surveil- technicial capac- Disease Control Unit lance and outbreak control ities (Naypyitaw (SDCU) teams, clinicians guidelines by CEU by techni- location) and BHS cal assistance from experts ( 1 national consultant, 80 days) (2) Meeting on technical Naypyitaw Guidelines Y Word Bank ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 2 working group to review and printed 1,860,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = 5 - 3,720,000 - - - 3,720,000 finalize guidelines and SOPs + 5 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel with technical assistant (20 250000 ( True) +20 costs participants away = 95000, Tea participants, 5 away, 1 day, * 1 * ( 15000True break = 10000, Lunch = 15000, Station- 2 times) + 10000True) + ary = 2500, Venue = 250000, Printing 20 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (3) Print and disseminate the States and Guidelines Y Word Bank 5000* 1 guidelines and SOPs Regions printed 10,000,000 - 10,000,000 - - - 10,000,000 (5000 copies each) (4) Central Training to SDCU States and Number of Time avaialabiltiy Y Donor ( 9000* (50 - 40 ) 1 Training : Per diem = 9000 Participants 3 4 4 4 teams and TOT to 2 staff at Regions; staff who got by trainers and (WHO) 14,695,000 *3 + 40 * 5 * 30000 = 50 Days = 3, Participants away = 40 - 44,085,000 58,780,000 58,780,000 58,780,000 220,425,000 every township focal point Townships training trainees + 40 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel (50 participants, 40 Away, 3 250000 ( True) +50 costs participants away = 95000, Tea days, 15 times) * 3 * ( 15000True break = 10000, Lunch = 15000, Station- (40 participants from central + 10000True) + ary = 2500, Venue = 250000, Printing and 660 participants from 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 townships) +0+0 JEE Indicator D.2.2 Interoperable, interconnected, electronic real-time reporting system JEE Scores 2 JEE recommendations * A one-health approach encompassing human, animal and wildlife surveillance should be considered. Objective To develop real-time reporting system 1 Development of data- CEU Data Assistant for (1) Workshop on development Naypyitaw Number of findings of techni- N ( 9000* (40 - 30 ) 1 Workshop : Per diem = 9000 Partici- 2 base and data sharing AFP, ILI/SARI, VPD of Database and data sharing workshop cial experts 9,230,000 *2 + 30 * 4 * 30000 pants = 40 Days = 2, Participants away 18,460,000 - - - - 18,460,000 101 mechanism among using Information Mechanism with experts for conducted + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 MOHS, MOALI and others for action (IFA) database software Database 250000 ( True) +40 Travel costs participants away = 95000, software (40 participants, 30 Away, 2 and * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- days, 2 times) Mechanism + 10000True) + tionary = 2500, Venue = 250000, Printing developed 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (2) Hiring International Naypyitaw Number of findings of techni- N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 1 Consultant for development of workshop cial experts 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel 19,562,400 - - - - 19,562,400 database and training Modules conducted 1 * 1584000 = = 1584000 (1 International Consultant, Database 19562400 20 days) and Mechanism NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) developed (3) Procurment and Installa- CEU, SDCUs, Establish- Procurement of N 20000*1320 6 6 5 5 tion of IT equipments, internet LBVD, NHL, ment of specification of 26,400,000 158,400,000 158,400,000 132,000,000 132,000,000 - 580,800,000 facilities for database and set Animal database and IT equipments up data base at CEU (2), SCDU, Lab functioned which are really LBVD, NHL and LBVD lab needed (20,000 USD per unit, total 22 units) (4) Recuritement of staff for CEU, SDCUs, Number retaining of Y Government ( 9000* (25 - 20 ) *5 1 Admin : 120000 : 12 Months 6 12 17 22 22 operation of database LBVD, NHL, of staff trained staff 1,440,000 + 20 * 7 * 30000 + 5 - (1 staff per unit, 120,000 MMK Animal recruited and * 100000 ( True) +25 per month) Lab trained * 5 * ( 10000True Same staff hiring in activ- + 0True) + 25 * ity line D.2.3.1.2 for data 2000True ) * 1 management No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (5) Training of staff for data- CEU, SDCUs, Number of retaining of N ( 9000* (15 - 10 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 1 base and its' operation LBVD, NHL, staff trained trained staff 6,437,500 *5 + 10 * 7 * 30000 = 15 Days = 5, Participants away = 10 6,437,500 6,437,500 6,437,500 6,437,500 6,437,500 32,187,500 (15 participants, 10 Away, 5 Animal + 10 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel days, 1 time/year) Lab 250000 ( True) +15 costs participants away = 95000, Tea (about 2 staff from each unit) * 5 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 15 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (6) Annual Maintanince and CEU, SDCUs, Number and Inclusion of main- N 6 12 17 22 22 operation cost of Database LBVD, NHL, frequency of atance cost to 1,320,000 7,920,000 15,840,000 22,440,000 29,040,000 29,040,000 104,280,000 and IT equipments (1000 USD Animal maitanences MOHS budget per year) Lab Function data base JEE Indicator D.2.3 Integration and analysis of surveillance data JEE Scores 3 JEE recommendations * Look for possible bias in systematic data collection caused by geographical factors, capacity limits and knowledge among stakeholders 102 Objective To strengthen Indicator- and event based survellance System 1 Improve data man- CEU Data Assistant (1) Conduct Datamanag- CEU, SDCUs, Number appropriate N ( 9000* (40 - 30 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 agement capacity by for ILI/SARI, VPD ment training for central LBVD, NHL, of training software and 9,230,000 *2 + 30 * 4 * 30000 = 40 Days = 2, Participants away = 30 18,460,000 18,460,000 18,460,000 18,460,000 18,460,000 92,300,000 training of staff, soft using Information staff, SR staff, LBVD, NHL, Animal conducted interoperability + 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel ware development for action (IFA) LBVD lab Lab Number among data 250000 ( True) +40 costs participants away = 95000, Tea software (40 participants, 30 Away, 2 of Staff management * 2 * ( 15000True break = 10000, Lunch = 15000, Station- days, 2 times per year) Trained. system + 10000True) + ary = 2500, Venue = 250000, Printing 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (2) Hiring of staff for Data CEU, SDCUs, data quality Potential for in- Y Government 1 Admin : 120000 : 12 Months 6 12 17 22 22 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) management cost including LBVD, NHL, assessment consitent among 1,440,000 - data entry, analysis etc Animal sectors (22 persons, Incentive 120,000 Lab Kyats/ month) Same staff hiring in activ- ity line D.2.2.1.4 for data management JEE Indicator D.2.4 Syndromic surveillance systems JEE Scores 3 JEE recommendations * Review CD laws for IHR, review surveillance systems (indicative and event triggered), including list of notifiable diseases and syndromes Objective To strengthen Indicator- and event based survellance System 1 Approval of CD laws CEU CD Law drafted (1) Meetings with responsible Naypyitaw CD law Commitment N ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 2 2 dessimination to stake- persons from Parliament, approved from government 1,370,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = 5 - holders and public Union Attorney General Office and stakeholders + 5 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel and other stakeholders for to implementa- 250000 ( False) +20 costs participants away = 95000, Tea CD laws tion of CD law * 1 * ( 15000False break = 10000, Stationary = 2500, Print (20 participants, 1 day, 5 + 10000True) + Dis = 60000, Printing costs = 0, Dissemi- Away, 2 times) 20 * 2500True ) * 1 nating costs = 0 Costing is included in Activ- +0+0 ity P.1.2.1.1 under National legislation area as similar activity (2) Disseminate Workshop Naypyitaw print CD laws Private sectors N ( 9000* (70 - 34 ) 1 Meeting : Per diem = 9000 Participants 1 CD laws to stakeholders, invlovement in CD 23,789,000 *1 + 34 * 3 * 30000 = 70 Days = 1, Participants away = - 23,789,000 - - - 23,789,000 private sectors and public at laws implemen- + 34 * 95000 + 1 * 34 Days away = 3 Diem away = 30000 Central level tation 250000 ( True) +70 Travel costs participants away = 95000, (printing of CD Laws about * 1 * ( 15000True Tea break = 10000, Lunch = 15000, 10,000 copies and Pamphlet + 10000True) + Stationary = 2500, Venue = 250000, 50,000 copies 70 * 2500True ) * Printing costs = 13500000, Disseminating (70 participant, 34 away, 1 1 + 13500000 + costs = 1500000 days 1 time) 1500000 103 (3) Disseminate Workshop CD Naypyitaw print CD laws Private sectors N ( 9000* (50 - 10 ) 1 Meeting : Per diem = 9000 Participants 10 7 laws to stakeholders, private invlovement in CD 18,835,000 *1 + 10 * 3 * 30000 = 50 Days = 1, Participants away = - 188,350,000 131,845,000 - - 320,195,000 sectors and public at States laws implemen- + 10 * 95000 + 1 * 10 Days away = 3 Diem away = 30000 at Regions tation 250000 ( True) +50 Travel costs participants away = 95000, (printing of CD Laws about * 1 * ( 15000True Tea break = 10000, Lunch = 15000, 10,000 copies and Papmhlet + 10000True) + Stationary = 2500, Venue = 250000, 50,000 copies 50 * 2500True ) * 1 Print Dis = 15000000, Printing costs = 0, (50 participant, 10 away, 1 +0+0 Disseminating costs = 0 days 1 time) (4) Hiring of National Consul- Naypyitaw bylaw devel- Commitment from N 1 * 80 * (80000 + Number = 1 ; No of Days : 80 , Per diem = 1 tant to develop bylaw for CD oped stakeholders 22,400,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 22,400,000 - - - - 22,400,000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (1 National consultant,80 22400000 days) (5) Dessimination Meeting/ Naypyitaw bylaw devel- Commitment from N ( 9000* (30 - 20 ) 1 Meeting : Per diem = 9000 Participants 3 Workshop on by Law and oped stakeholders 19,865,000 *1 + 20 * 3 * 30000 = 30 Days = 1, Participants away = - 59,595,000 - - - 59,595,000 dessiminate + 20 * 95000 + 1 * 20 Days away = 3 Diem away = 30000 - printing by law for CD about 250000 ( True) +30 Travel costs participants away = 95000, 10,000 copies * 1 * ( 15000True Tea break = 10000, Lunch = 15000, (30 participants, 20 Away, 1 + 10000True) + Stationary = 2500, Venue = 250000, day, 3 times) 30 * 2500True ) * 1 Print Dis = 15000000, Printing costs = 0, +0+0 Disseminating costs = 0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (6) Stakeholders Meeting on Naypyitaw annual availability and N ( 9000* (40 - 30 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 Annual update lists of Notifi- updated list interest of partic- 6,990,000 *1 + 30 * 3 * 30000 = 40 Days = 1, Participants away = 30 6,990,000 6,990,000 6,990,000 6,990,000 6,990,000 34,950,000 able Diseases of notifiable ipants + 30 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel (40 participants, 30 Away, 1 diseases 250000 ( True) +40 costs participants away = 95000, Tea day, 1 times per Year) * 1 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 2 Operational Supports for Existing system (1) Cost for Case investigations State and Complete Under reporting N 1 1 1 1 1 syndromic surveillance functioning and specimens collections and Regions CI form and and timeliness 99,100,000 99,100,000 99,100,000 99,100,000 99,100,000 99,100,000 495,500,000 system transportation timiliness and completeness (About 450 cases for AFP, 1100 of specimen of reporting cases for fever with rash, 500 arrived to cases for other VPDs, 1500 cas- NHL es for ILI and SARI per year) Regular Procure- (2) lab reagents, test kits and NHL and Availability Cost of lab N 1 1 1 1 1 ment process some vaccines for case investi- PHL of reagents reagents 205,525,000 205,525,000 205,525,000 205,525,000 205,525,000 205,525,000 1,027,625,000 gations and surveillance, and at all times providing vaccination for sep- cial diseases at National Health 104 Laboratory and Public Health Laboratory (Mandalay) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 DETECT General Objective: To do promptly detect threats (due to all hazards) to save lives and ensure proper control measures. GOAL Total TECHNICAL AREA Detect 3 Reporting Estimated cost JEE Indicator D.3.1 System for efficient reporting to WHO, FAO and OIE (USD) JEE Scores 3 181,497.88 JEE recommendations * Improve workforce capability and awareness, including IHR responsibilities, risk assessment and reporting of a potential PHEIC, for human and animal Total Estimated cost health sectors (at national and subnational levels) Total cost per year of implementation (Local * Improve Information Communications Technology (ICT) for reporting and information sharing currency) (Kyats) Objective To strengthen communication Mechanism for information sharing in and out Country 151,126,700 43,937,500 29,357,500 29,357,500 29,357,500 283,136,700 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Development of Capac- MOHS/MOALI Existing activities (1) Annual Joint Training on Naypyitaw/ number of involvement of all N ( 9000* (50 - 40 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 1 105 ity for relevant person on prearedness, reporting, risk assessment, Subnation- training stakeholders 11,905,000 *2 + 40 * 4 * 30000 = 50 Days = 2, Participants away = 40 11,905,000 11,905,000 11,905,000 11,905,000 11,905,000 59,525,000 through training on re- surveillance IHR responsibilities in ani- al (State/ conducted + 40 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel porting, risk assessment, and Emergency mal and human health sectors Region) Number of 250000 ( True) +50 costs participants away = 95000, Tea IHR responsibilities response Process at Central, State and Region Staff Trained * 2 * ( 15000True break = 10000, Lunch = 15000, Station- in animal and human among sector and (50 participants, 40 Away, + 10000True) + ary = 2500, Venue = 250000, Printing health sectors at Cen- Stakeholders 2days, 1 times per year) 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 tral, State and Region +0+0 2 Development of train- MOHS/MOALI Existing activities (2) Hiring International Con- Naypyitaw Manual de- Experts with N 1 * 60 * (238920 Number = 1 ; No of Days : 60 , Per diem 1 ing Manual on IHR on prearedness, sultant to Develop Trianing veloped and technical capacity 55,519,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel 55,519,200 - - - - 55,519,200 and Health security surveillance manual (Modules) for IHR published for with understand- 1 * 1584000 = = 1584000 and Emergency and health security by CEU trainings ing of local 55519200 response Process with technicial supports from context NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) among sector and WHO, USCDC Stakeholders (1 International consultant, 60 days- 3 months) MOHS/MOALI (3) Disseminate Workshop/ Naypyitaw Workshop involvement of all N ( 9000* (60 - 50 ) 1 Workshop : Per diem = 9000 Partici- 1 Meeting on Trianing manual and SR done and stakeholders in 21,240,000 *1 + 50 * 3 * 30000 pants = 60 Days = 1, Participants away 21,240,000 - - - - 21,240,000 for IHR and health security Manual training program + 50 * 95000 + 1 * = 50 Days away = 3 Diem away = 30000 to stakeholders from Central, published 250000 ( True) +60 Travel costs participants away = 95000, States and Regions * 1 * ( 15000True Tea break = 10000, Lunch = 15000, (60 participants, 50 Away, 1 + 10000True) + Stationary = 2500, Venue = 250000, days, 1 times, 5,000 copies 60 * 2500True ) * 1 Print Dis = 10000000, Printing costs = 0, printing and distribution) +0+0 Disseminating costs = 0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 3 Establish Electronic MOHS/MOALI Eisting sur- (1) Consultative workshop on Naypyitaw Workshop involvement and N ( 9000* (40 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 single information veillance and development of Database conducted technical inputs of 9,230,000 *2 + 30 * 4 * 30000 pants = 40 Days = 2, Participants away 9,230,000 - - - - 9,230,000 platform among Reporting System with experts and stakeholders all stakeholders + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 MOHS, MOALI, WHO, and Practices (40 participants, 30 Away, 2 250000 ( True) +40 Travel costs participants away = 95000, FAO, OIE days, 1 times) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- + 10000True) + tionary = 2500, Venue = 250000, Printing 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (2) Development of Database CEU, SCDU, Establish- Procurement and N 1 at CEU, SDCU, NHL, LBVD and NHL, LBVD ment of techinical issues - - - - - - animal lab and animal functional on Database (Cost for establishment of lab database database already included under Real Time Surveil- lance D.2.2.1.1) (3) Training on familarity with Naypyitaw Number Finding of N ( 9000* (25 - 20 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 1 one single information plat- of staff technical staff 7,722,500 *3 + 20 * 5 * 30000 = 25 Days = 3, Participants away = 20 7,722,500 7,722,500 7,722,500 7,722,500 7,722,500 38,612,500 form for relevant staffs trained for with appropriate + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel (25 participants, 20 Away, 3 one single capacity 250000 ( True) +25 costs participants away = 95000, Tea days training, 1 times per year) information * 3 * ( 15000True break = 10000, Lunch = 15000, Station- 106 platform + 10000True) + ary = 2500, Venue = 250000, Printing 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 MOHS/MOALI (4) Yearly Operational and CEU, SCDU, Functional inclusion of N 1 1 1 1 maintance cost for information NHL, LBVD information mainatanince cost - - - - - - platform and animal platform in government (Operational and maintance lab maintained budget cost of database already in- and func- cluded in activity D.2.2.1.6 tioning planned of Real Time Surveillance Area) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) JEE Indicator D.3.2 Reporting network and protocols in country JEE Scores 2 JEE recommendations * Establish written processes and protocols for identifying and reporting potential PHEIC up to central level MOHS / National Foca Point. * Ensure regular, systematic information sharing between human and animal health sectors Objective To Strengthen information sharing and practices in Country 1 Develop Protocols MOHS, MOALI Existing Reporting (1) Hiring of National Consul- Naypyitaw SOPs and Involvement of N 1 * 40 * (80000 + Number = 1 ; No of Days : 40 , Per diem = 1 and SOPs for regular Process among tant to Develop protocols Protocl stakeholders in 11,200,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 11,200,000 - - - - 11,200,000 Public Health Emergency sector and Stake- and SOPs for PHEIC Re- developed development 11200000 Internaltional Concerns holders porting Mechanism by focal of SOPs (PHEIC) Reporting points from CEU, LBVD, WHO Mechanism between and OIE with supports from Finding Expert animal and human technicial experts Persons sectors (1 National Expert/Consultant, 40 days or 2 months) (2) Dissemination and Naypyitaw dissemi- Difficulties in N ( 9000* (60 - 50 ) 1 Workshop : Per diem = 9000 Partici- 1 1 Awareness workshop on nation of actual imple- 14,580,000 *2 + 50 * 4 * 30000 pants = 60 Days = 2, Participants away 14,580,000 14,580,000 - - - 29,160,000 SOPs and protocol of SOPsand mentation of + 50 * 95000 + 2 * = 50 Days away = 4 Diem away = 30000 Reporting Mechanism to protocol protocol among 250000 ( True) +60 Travel costs participants away = 95000, stakeholders from Central, stakeholders * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- State and Region level + 10000True) + tionary = 2500, Venue = 250000, Printing (60 participants, Away 50, 2 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 2 times) +0+0 (3) Printing and Distribution Naypyitaw Number of Involvement and N 1 of SOPs and protocols to all copiesof Commitments of 10,000,000 10,000,000 - - - - 10,000,000 107 stakeholders SOPs and stakeholders (5000 copies) protocols to all stakeholders printed and distributed 2 Simulation exercises MOHS, MOALI Existing Reporting (1) Conduct Simulation Exer- Naypyitaw number of Availability and N ( 9000* (30 - 20 ) 1 Workshop : Per diem = 9000 Partici- 2 2 2 2 2 of test the protocols and Process among cises to test the protocols and simulation interest of all sec- 4,865,000 *1 + 20 * 3 * 30000 pants = 30 Days = 1, Participants away 9,730,000 9,730,000 9,730,000 9,730,000 9,730,000 48,650,000 SOPs Reporting Mecha- sector and Stake- SOPs by every six months exercises tors in simulation + 20 * 95000 + 1 * = 20 Days away = 3 Diem away = 30000 nism to be active holders (30 participants, 20 Away, 1 conducted exercises 250000 ( True) +30 Travel costs participants away = 95000, day, 2 times per year) * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- + 10000True) + tionary = 2500, Venue = 250000, Printing NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 DETECT General Objective: To do promptly detect threats (due to all hazards) to save lives and ensure proper control measures. GOAL Total TECHNICAL AREA Detect 4 Workforce Development Estimated cost JEE Indicator D.4.1 Human resources are available to implement IHR core capacity requirements (USD) JEE Scores 3 3,505,474.36 JEE recommendations * To develop a HR strategic plan for next 5 years after evaluating existing HR strategic plan. This includes development of HR data base with tracking Total Estimated cost facilities Total cost per year of implementation (Local currency) (Kyats) Objective To increase avaiability of HR interm of quantity and quality 1,163,717,500 1,159,840,000 1,123,067,500 1,010,957,500 1,010,957,500 5,468,540,000 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 108 1 HR planning to increase CEU,DHRH, Information on (1.) Stakeholder Meeting National IHR essential Drop out or N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 health personnel LBVD Relevant Existing to identify required Health and Sub health work- Attrition, Com- 5,927,500 *1 + 25 * 3 * 30000 = 35 Days = 1, Participants away = 25 - 5,927,500 - - - 5,927,500 stock level to enable Workforces workforce cadres for IHR Core national force for each mitments from + 25 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel implementing IHR Core Department of functions category and Decision Makers. 250000 ( True) +35 costs participants away = 95000, Tea functions for Country Human Resource - To develop Classification, Plan was * 1 * ( 15000True break = 10000, Lunch = 15000, Station- Health Security for Health (DHRH) job description, career path- developed + 10000True) + ary = 2500, Venue = 250000, Printing is implementing ways etc 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 HR Information (35 participants, 25 Away, 1 +0+0 System(HRIS) day, 1 times) with assistance from JHPIEGO and 3MDG Fund NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (2) Workshop/Meeting for de- National N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 termining optimum required and Sub 5,927,500 *1 + 25 * 3 * 30000 = 35 Days = 1, Participants away = 25 - 5,927,500 - - - 5,927,500 numbers for each category national + 25 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel of workforce required for IHR 250000 ( True) +35 costs participants away = 95000, Tea Core functions * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (35 participants, 25 Away, 1 + 10000True) + ary = 2500, Venue = 250000, Printing day, 1 times) 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (3) To develop Health Work- National N ( 9000* (35 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 force recruitment plan based and Sub 5,927,500 *1 + 25 * 3 * 30000 = 35 Days = 1, Participants away = 25 - 5,927,500 - - - 5,927,500 on need assessment national + 25 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel (35 participants, 25 Away, 1 250000 ( True) +35 costs participants away = 95000, Tea day, 1 times) * 1 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (4) Advocacy and Awareness National N ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 Workshop/Meeting on Health and Sub 6,535,000 *1 + 25 * 3 * 30000 = 50 Days = 1, Participants away = 25 - 6,535,000 - - - 6,535,000 Workforce recruitment plan national + 25 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel based on need assessment 250000 ( True) +50 costs participants away = 95000, Tea with decision, policy makers * 1 * ( 15000True break = 10000, Lunch = 15000, Station- and stakehloders + 10000True) + ary = 2500, Venue = 250000, Printing (50 participants, 25 Away, 1 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 day, 1 times) +0+0 2 Build Capacity and DHRH , Medi- Existing Capacity (1) Provision of abroad (In- National Number Timely Approval, N 40 40 40 40 40 increase workforce cal and allied Building training ternational) training Program and Sub of trained registration and 6,600,000 264,000,000 264,000,000 264,000,000 264,000,000 264,000,000 1,320,000,000 on epidemiologists, Universities, by MoHS according to need based national epidemiolo- Budget supports biostatisticians, and MoHS DHRH is assessment: (Epidemiologists gists lab specialists or set implementing and Biostatisticians) up in-country training HR Information (40 persons per year) for those specialities System(HRIS)- (HR which facilitate further database with strengthening of IHR tracking system) core capacities with assistance from JHPIEGO and 3MDG Fund (2) Provision of abroad (In- National Number of N 40 40 40 40 40 ternational) training Program and Sub trained Lab 6,600,000 264,000,000 264,000,000 264,000,000 264,000,000 264,000,000 1,320,000,000 according to need based national Specialists assessment: Lab Specialists (Pathologist and Microbi- ologist) (40 persons per year) 109 (3) Provision of abroad (In- National Number of N 20 20 20 20 20 ternational) training Program and Sub trained Vet- 6,600,000 132,000,000 132,000,000 132,000,000 132,000,000 132,000,000 660,000,000 according to need based national erinarians assessment: Veterinarians (40 persons per year) (4) Monthly Regular National Regular infrastructure, N 12 12 12 12 12 Management of Workforce and Sub Analysis of resouurces - - - - - - Development by analysing national Workforce Training HR database with tracking HR database system for further action plan functioning (No cost) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) JEE Indicator D.4.2 Field Epidemiology Training Program or other applied epidemiology training program in place JEE Scores 3 JEE recommendations * To train more epidemiologists, biostatisticians and social scientists abroad or set up in-country training for those specialities which facilitate further strengthening of IHR core capacities . Objective To strengthen the capacity for workforce developmed No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Finalize and approve the CEU, DPH, Draft curriculum (1) Workshop on finalization Sub-na- Training cur- (1) Inter and In- Y Govern- ( 9000* (30 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 2 2 draft curriculum for na- Livestock for FETP basic of FETP basic and intermdiate tional riculum for tra- departmental ment, 6,555,000 *2 + 20 * 4 * 30000 pants = 30 Days = 2, Participants away 6,555,000 13,110,000 13,110,000 - - 32,775,000 tional FETP basic course Breeding and and intermediate course FETP Basic collaboration, (2) President's + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 and intermediate course Veterinarian courses (30 participants, 20 Away, developed, Dural responsi- Malaria 250000 ( True) +30 Travel costs participants away = 95000, (9-month) Department, 2-day, 2 times per year) 9-month bilities of trainers Initiative, * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- Medical FETP-In- and mentors will WHO, World + 10000True) + tionary = 2500, Venue = 250000, Printing and allied Review and revise the contents termediate be a burden Bank 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 Universities, of curriculum to be com- training +0+0 other related prehensive and in line with curriculum Ministries international courses, developed (2) Review and revise teaching methodology and assessment 110 methods ;need to be tailored with objectives of the courses, (3) Participants inclusiveness (Medical doctors, BHS, Veteri- narians, other memebers who worked for RRT), (4) Certificate (Career Pathway), (5) Appoint focal person or permanent staff for FETP training in CEU, (6) Invite visiting lecturers from related universities to NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) FETP Training Praogram (30 participants, 2-day work- shop, 2 times per year) 2 Mentorship program CEU, DoPH, To utilize (1) Provide Mentorship National Number of Restrictive num- Y President's ( 9000* (15 - 8 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 1 for FETP Medical graduates from facilitation workshops to equip competent ber of competent Malaria 4,061,500 *3 + 8 * 5 * 30000 = 15 Days = 3, Participants away = 8 4,061,500 4,061,500 4,061,500 4,061,500 4,061,500 20,307,500 and allied international FETP necessary skills to trained mentors, mentors, Limited Initiative, + 8 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel Universities, programs and FETP graduates and potential Metor-men- budgets for the WHO, World 250000 ( True) +15 costs participants away = 95000, Tea (LBVD) MOHS/LBVD offi- Mentors to become competent tee ratio training Bank, ADB * 3 * ( 15000True break = 10000, Lunch = 15000, Station- cials with strong mentors + 10000True) + ary = 2500, Venue = 250000, Printing background of (15 potential mentors, 8 Away, 15 * 2500True ) * 1 costs = 0, Disseminating costs = 0 field epidemiolo- 3 days workshop, 1 times +0+0 gy experiences as per year) Mentors 3 Train more field epide- (1) Train basic level field National Number Y President's one-week workshop with 35 participants: 1 1 1 1 1 miologists to strengthen epidemiologists by providing and Sub of persons Malaria 20,064,000 7,600 USD 20,064,000 20,064,000 20,064,000 20,064,000 20,064,000 100,320,000 health security inter- FETP basic course (Estimated national trained by Initiative, ventions and IHR related cost for one-week workshop FETP basic WHO, World activities through FETP with 35 participants: 7,600 course Bank, ADB courses and other USD, 2 workshops for basic applied epidemiology course, one course per year) training programs (2) Train mid level field epide- National Number Total cost of a Y President's 1 1 1 1 1 miologists by providing FETP and Sub of persons 9-month course Malaria 198,000,000 198,000,000 198,000,000 198,000,000 198,000,000 198,000,000 990,000,000 Intermediate 9 month course national trained includes costs Initiative, (20 participants per year) by FETP for 5 workshops, WHO, World intermediate field projects, Bank, ADB course supervisory visits, operation costs, computer, IT, facilitites, refer- ences, etc. (3) Train expert level field National Number Currently, PMI is Y President's 75,000 USD for one fellow for a 2-year 2 2 2 1 1 epidemiologists by providing and Sub of persons supporting spon- Malaria 99,000,000 program 198,000,000 198,000,000 198,000,000 99,000,000 99,000,000 792,000,000 FETP advanced 2-year program national trained sorship for 2 fel- Initiative (2 international FETP fellows by FETP lows annually to per year, 75,000 USD for one advanced join International fellow for a 2-year program) course 2-yr FETP-Ad- vanced program in Thailand. (4) Provide FETP basic National Number Rapid Response Y WHO, ADB 2 2 2 2 2 equivalent short courses or and Sub of persons Training and 8,316,000 16,632,000 16,632,000 16,632,000 16,632,000 16,632,000 83,160,000 111 other applied epidemiology national trained by others trainings for frontline public FETP basic health workforce (Estimated equivalent or cost: 6,300 USD per workshop other applied (35 participants for 1 week), 3 epidemiol- workshops per year) ogy short courses (5) Participate in other National Number To double check Y WHO 2 2 2 2 2 international FETP equivalent and Sub of persons the cost with WHO 6,600,000 13,200,000 13,200,000 13,200,000 13,200,000 13,200,000 66,000,000 training programs (such as national trained FETP India, FETP China, etc.) by other international NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) FETP equiva- lent training programs JEE Indicator D.4.3 Workforce strategy JEE Scores 3 JEE recommendations * To develop a HR strategic plan for next 5 years after evaluating existing HR strategic plan. This includes development of HR data base with tracking facilities * To increase health personnel stock level in line with SDG targets Objective To increase avaiability of HR interm of quantity and quality No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Develop public health All depart- DHRH is devel- (1) Consultative workshops to National drafted Inter- and in- N ( 9000* (40 - 30 ) 1 Workshop : Per diem = 9000 Partici- 3 workforce strategy in ments of oping Human develop puclic health work- Public health tra-deparmental 11,470,000 *3 + 30 * 5 * 30000 pants = 40 Days = 3, Participants away 34,410,000 - - - - 34,410,000 line with HRH Strategic MoHS (DPH Resource for force strategy workforce collaboration and + 30 * 95000 + 3 * = 30 Days away = 5 Diem away = 30000 Plan (2018-2021) and DHRH Health Strategic (40 participants, 30 Away, 3 strategy supports 250000 ( True) +40 Travel costs participants away = 95000, (Public Health workforce focal) Plan(2018-2021) day, 3 times) developed * 3 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- Planning, Quality, Gov- in line with Na- + 10000True) + tionary = 2500, Venue = 250000, Printing renance, Financing) tional Health Plan 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (2017-2021) +0+0 DHRH, DPH (2) Hire a national consultant National Public health Inter- and in- N 1 * 40 * (80000 + Number = 1 ; No of Days : 40 , Per diem = 1 to support the development workforce tra-deparmental 11,200,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 11,200,000 - - - - 11,200,000 112 of Public Health Workforce strategy collaboration and 11200000 strategy developed supports (1 National Consultant, 40 days - 2 months) DHRH, DPH (3) Review and Revised Meet- National Number of N ( 9000* (15 - 0 ) 1 Meeting : Per diem = 9000 Participants 2 2 ings on Finalization of Drafted TWG meet- 797,500 *1 + 0 * 3 * 30000 = 15 Days = 1, Tea break = 10000, Lunch 1,595,000 1,595,000 - - - 3,190,000 Public Health Workforce ings + 0 * 95000 + 1 * = 15000, Stationary = 2500, Venue = Strategy by TWG 250000 ( True) +15 250000, Printing costs = 0, Disseminating (15 participants, 0 Away, 1 day, * 1 * ( 15000True costs = 0 4 times, at DHRH office) + 10000True) + 15 * 2500True ) * 1 +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) DHRH, DPH (4) Advocacy and Awareness National Workshop N ( 9000* (100 - 35 ) 1 Meeting : Per diem = 9000 Participants 1 Workshop/Meeting on Public done and 10,860,000 *1 + 35 * 3 * 30000 = 100 Days = 1, Participants away = - 10,860,000 - - - 10,860,000 Health Workforce Strategy Number of + 35 * 95000 + 1 * 35 Days away = 3 Diem away = 30000 (100 participants,35 away, 1 SoP booklet 250000 ( True) +100 Travel costs participants away = 95000, day, 1 time, printing and dis- * 1 * ( 15000True + Tea break = 10000, Lunch = 15000, tribution of Strategy book) 10000True) + 100 Stationary = 2500, Venue = 250000, * 2500True ) * 1 + Printing costs = 700000, Disseminating 700000 + 100000 costs = 100000 MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 RESPONSE General Objective: To establish a functional system and mechanism for effective multi-sectoral national and international response to all public health events. GOAL Total TECHNICAL AREA Respond 1 Preparedness Estimated cost JEE Indicator R.1.1 Multi-hazard National Public Health Emergency Preparedness and Response Plan is developed and implemented (USD) JEE Scores 1 498,907.05 JEE recommendations * Develop a national multi-hazard public health emergency preparedness and response plan, which should include processes for funding, managing, Total Estimated cost and mobilizing emergency resources. Total cost per year of implementation (Local currency) (Kyats) Objective To Strengthen Preparedness and Reponse again Public Health Emergencies - 216,944,200 405,195,800 82,160,000 73,995,000 778,295,000 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 113 1 National Multi-hazard MoHS Process of devel- (1) Hire National Consultant National Draft plan Y UNICEF 16,800,000 1 * 60 * (80000 + Number = 1 ; No of Days : 60 , Per diem = 1 Health emergency opment of the (1 National Consultant, and finalized 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 16,800,000 - - - 16,800,000 Preparedness and plan is ongoing 60 days) plan devel- 16800000 Response plan Existing plans oped MoHS Process of devel- (2) Meeting on Organizing National Draft plan Tight Schedule of Y 5,795,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 opment of the a task force group for Na- and finalized the stakeholders *1 + 20 * 3 * 30000 pants = 50 Days = 1, Participants away - 5,795,000 - - - 5,795,000 plan is ongoing tional Multi-Harzard Health plan devel- + 20 * 95000 + 1 * = 20 Days away = 3 Diem away = 30000 Existing plans Emergency Preparedness and oped 250000 ( True) +50 Travel costs participants away = 95000, Response plan development * 1 * ( 15000True Tea break = 10000, Lunch = 15000, (50 participants, 20 Away, 1 + 10000True) + Stationary = 2500, Venue = 250000, Print day, 2 times) 50 * 2500True ) * 1 Dis = 100000, Printing costs = 0, Dissemi- +0+0 nating costs = 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MoHS Process of devel- (3) Workshop to get input for National Draft plan Y 5,795,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 opment of the development of Multi-Harzard developed *1 + 20 * 3 * 30000 pants = 50 Days = 1, Participants away - 5,795,000 - - - 5,795,000 plan is ongoing Health Emergency Prepared- + 20 * 95000 + 1 * = 20 Days away = 3 Diem away = 30000 Existing plans ness and Response plan 250000 ( True) +50 Travel costs participants away = 95000, (50 participants, 20 Away, 1 * 1 * ( 15000True Tea break = 10000, Lunch = 15000, day, 2 times) + 10000True) + Stationary = 2500, Venue = 250000, Print 50 * 2500True ) * 1 Dis = 100000, Printing costs = 0, Dissemi- +0+0 nating costs = 0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) MoHS Process of devel- (4) Conduct Simulation National/ Draft plan Tight Schedule of Y 9,430,000 ( 9000* (40 - 30 ) 1 Training : Per diem = 9000 Participants 11 7 opment of the exercise to get inputs for Subna- developed the stakeholders *2 + 30 * 4 * 30000 = 40 Days = 2, Participants away = 30 - 103,730,000 66,010,000 - - 169,740,000 plan is ongoing development of National tional + 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Existing plans Multi-Harzard Health 250000 ( True) +40 costs participants away = 95000, Tea Emergency Preparedness and * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Response plan + 10000True) + ary = 2500, Venue = 250000, Print Dis = (40 Participant, 30 Away, 2 40 * 2500True ) * 1 100000, Printing costs = 0, Disseminating days, 1 times, at each Central, +0+0 costs = 0 States and Regions) MoHS (5) Workshop to finalize National Finalized Tight Schedule of Y 8,165,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 draft plan plan devel- the stakeholders *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 8,165,000 - - - 8,165,000 (50 participants, 20 Away, oped + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 2 days) 250000 ( True) +50 Travel costs participants away = 95000, Number of * 2 * ( 15000True Tea break = 10000, Lunch = 15000, plan printed + 10000True) + Stationary = 2500, Venue = 250000, Print out and 50 * 2500True ) * 1 Dis = 100000, Printing costs = 0, Dissemi- distributed +0+0 nating costs = 0 MoHS (6) Dissemination wokshop National Finalized Tight Schedule of Y 11,140,000 ( 9000* (100 - 40 ) 1 Workshop : Per diem = 9000 Partici- 1 (or) Launching Ceremory plan devel- the stakeholders *1 + 40 * 3 * 30000 pants = 100 Days = 1, Participants away - 11,140,000 - - - 11,140,000 National Multi Harzard Health oped + 40 * 95000 + 1 * = 40 Days away = 3 Diem away = 30000 114 Emergency Preparedness Plan 250000 ( True) +100 Travel costs participants away = 95000, (100 participant, 40 Away, 1 * 1 * ( 15000True Tea break = 10000, Lunch = 15000, day, 1 times) + 10000True) + Stationary = 2500, Venue = 250000, Print 100 * 2500True ) * 1 Dis = 100000, Printing costs = 0, Dissemi- +0+0 nating costs = 0 MoHS (7) )Printing, publishing and National Number of Duration of print- Y 10,000,000 2000*5000 MMK/set 1 distribution of developed plan book of Plan ing of book - 10,000,000 - - - 10,000,000 (2000 set of copies, 5000MMK/ printed and set) distributed. 2 Advocacy on National MoHS (1) Advocay and awareness National Number of Multi-Sectoral N 5,795,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 Multi-hazard Health Meeting to stakeholders at advocacy awareness and *1 + 20 * 3 * 30000 = 50 Days = 1, Participants away = 20 - - 5,795,000 - - 5,795,000 emergency Preparedness Central level meetings Commitments + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) and Response plan (50 participant, 20 Away, 1 250000 ( True) +50 costs participants away = 95000, Tea day, 1 times at Napyitaw) * 1 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating +0+0 costs = 0 MoHS (2) Advocay and awareness Subnation- Number of Timely finalization N 5,795,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 17 Meeting to stakeholders at al (States/ advocacy of modules *1 + 20 * 3 * 30000 = 50 Days = 1, Participants away = 20 - - 98,515,000 - - 98,515,000 S/R level Regions) meetings + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel (50 participant, 20 Away, 1 250000 ( True) +50 costs participants away = 95000, Tea day, 1 times at 17 States and * 1 * ( 15000True break = 10000, Lunch = 15000, Station- Regions) + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating +0+0 costs = 0 3 Exercise on National MoHS (1) Hire international consul- National Exercise N 37,540,800 1 * 40 * (238920 Number = 1 ; No of Days : 40 , Per diem 1 Multi-hazard Health tant to develop exercise mod- modules + 660000) + = 238920 ; Daily rate = 660000 : Travel - - 37,540,800 - - 37,540,800 emergency Preparedness ules of National Multi Harzard developed 1 * 1584000 = = 1584000 and Response plan Health Emergency prepared- 37540800 ness and response Plan (1 International, 40 days) MoHS (2) Table Top Exercise or National Number of Interest and N 8,165,000 ( 9000* (50 - 20 ) 1 Training : Per diem = 9000 Participants 1 1 simulation exercise on Multi Simulation understanding of *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - 8,165,000 8,165,000 - 16,330,000 Harzard preparedness and re- exercises exercises + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel sponse Plan at Central level done 250000 ( True) +50 costs participants away = 95000, Tea (50 participants, 20 Away, 2 * 2 * ( 15000True break = 10000, Lunch = 15000, Station- days, 2 times) + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating +0+0 costs = 0 MoHS (3) Table Top Exercise or Subnation- N 8,165,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 9 8 simulation exercise on Multi al (State/ *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - - 73,485,000 65,320,000 138,805,000 Harzard preparedness and Region) + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel response Plan at State and 250000 ( True) +50 costs participants away = 95000, Tea Region level * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (50 participants, 20 Away, 2 + 10000True) + ary = 2500, Venue = 250000, Print Dis = days, 1 times, at 17 States and 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating Regions) +0+0 costs = 0 4 Review and Revise the MoHS (4) Workshop to review National Workshop Accurate Lessons, N 8,165,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 National Multi-hazard National Multi Harzard Health conducted learnts is essential *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - - - 8,165,000 8,165,000 Health emergency, Emergency preparedness and + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Preparedness and response Plan for adapation of 250000 ( True) +50 costs participants away = 95000, Tea Response plan national content and context * 2 * ( 15000True break = 10000, Lunch = 15000, Station- 115 (50 participants, 20 Away, 2 + 10000True) + ary = 2500, Venue = 250000, Print Dis = days, 1 times) 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating +0+0 costs = 0 JEE Indicator R.1.2 Priority public health risks and resources are mapped and utilized JEE Scores 1 JEE recommendations * Undertake a National Risk Assessment and Resource Mapping, and update as needed Objective * To strengthen National Public Health Assessment to Identify and Prioritise Public Health Threats 1 Conduct Mapping of MoHS MIMU, infor- (1) Hire International con- National Development Multi-Sectoral N 55,519,200 1 * 60 * (238920 Number = 1 ; No of Days : 60 , Per diem 1 Public Health Risk and mation sharing sultant for Health Risk and of different involvement for + 660000) + = 238920 ; Daily rate = 660000 : Travel - 55,519,200 - - - 55,519,200 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Health Resource practices among resource Mapping maps accurate and rele- 1 * 1584000 = = 1584000 stakeholder (1 International Consultant, 60 vant information 55519200 days - 3 Months) MoHS MIMU, infor- (2) Workshop to develop risk National N 9,985,000 ( 9000* (50 - 30 ) 1 Workshop : Per diem = 9000 Partici- 17 mation sharing and resources mapping within *2 + 30 * 4 * 30000 pants = 50 Days = 2, Participants away - - 169,745,000 - - 169,745,000 practices among State and Region. + 30 * 95000 + 2 * = 30 Days away = 4 Diem away = 30000 stakeholder (50 participants, 30 Away, 2 250000 ( True) +50 Travel costs participants away = 95000, days 1 times at each from 17 * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- States and Regions, during 3 + 10000True) + tionary = 2500, Venue = 250000, Printing months in a year) 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) MoHS MIMU, infor- (3) Printing, publishing and National Number of N 30,000 17 17 17 mation sharing distribution of the set Map different - - 510,000 510,000 510,000 1,530,000 practices among and Mapping for 17 States types of stakeholder and Regions maps (1 set, 30000MMK/map-set) 2 Capacity building to in- MoHS Basic GIS Training (1) Training on Public Health National Training N 18,915,000 ( 9000* (50 - 34 ) 1 Meeting : Per diem = 9000 Participants 1 crease capacity on Public is ongoing Risk and Health Resource Map- conducted *5 + 34 * 7 * 30000 = 50 Days = 5, Participants away = 34 - - 18,915,000 - - 18,915,000 Health Risk and Health To check "Name" ping for relevant staff + 34 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel Resource Mapping of training (50 participants, 34 Away, 5 250000 ( True) +50 costs participants away = 95000, Tea day, 1 times) * 5 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating +0+0 costs = 0 116 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 RESPONSE General Objective: To establish a functional system and mechanism for effective multi-sectoral national and international response to all public health events. GOAL Total TECHNICAL AREA Respond 2 Emergency Response Operations Estimated cost JEE Indicator R.2.1 Capacity to Activate Emergency Operations (USD) JEE Scores 1 1,212,472.23 JEE recommendations * Identify and assign permanent staff for the PH EOC within an IMS structure, along with job descriptions and appropriate training * Develop a PHEOC plan / handbook with associated SOPS Total Estimated cost * Initiate an exercise and continuous improvement programme for emergency preparedness and response by conducting at least one table-top and Total cost per year of implementation (Local one functional exercise per year to reinforce IMS personnel training, skills and EOC operations. currency) * Develop SOPs for response operations, daily functions, managing cases of infectious patients, including at the points of entry (Kyats) Objective To strengthen effective functioning of Public Health Emergency Operation Center against Public Health Emergencies - 363,667,920 485,627,920 515,237,920 526,922,920 1,891,456,680 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 117 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Strengthening the ca- MoHS Planning and (1) Workshop to develop TOR National TOR devel- Timely develop- N 11,525,000 ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 1 pacity to operate Public implementation for permannat staffs of PHEOC oped ment accurately *3 + 25 * 5 * 30000 = 50 Days = 3, Participants away = 25 - 11,525,000 11,525,000 - - 23,050,000 Health Emergency Oper- of Preparedness with relevant stakeholder and + 25 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel ation Center (PHEOC) and reponse responsible persons 250000 ( True) +50 costs participants away = 95000, Tea (50 participants, 25 Away, 3 * 3 * ( 15000True break = 10000, Lunch = 15000, Station- days, 2 times) + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 100000, Printing costs = 0, Disseminating +0+0 costs = 0 MoHS (2) Study tour for PHEOC National Number Budget avail- N 21,946,320 2771*1320*1*6 6 6 6 6 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) implementing by other of PHEOC ability =131677920 - 131,677,920 131,677,920 131,677,920 131,677,920 526,711,680 countries staffs visited (6 persons, 6 days, 1 time to PHEOC per year) of other (2 from central, 4 from 17 S/R countries alternatively) (2771 USD x 1320 MMK, 6 perosns, 6 days) MoHS (3) Meeting/ Workshop to do National Meeting / N 9,150,000 ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 1 Review and Revise the TOR Workshop *2 + 25 * 4 * 30000 = 50 Days = 2, Participants away = 25 - - 9,150,000 - 9,150,000 18,300,000 of PHEOC conducted + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (50 participant, 15 Away, 2 250000 ( True) +50 costs participants away = 95000, Tea days, 1 time per 2 years)) * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 2 Upgrading the facility MoHS Currently working (1) Upgrading the facility of National Set up Budget Approval N 19,800,000 1*15000*1320 = 1 1 1 1 of PHEOC Unit for prepared- PHEOC of DoH PHEOC facil- 19800000 - 19,800,000 19,800,000 19,800,000 19,800,000 79,200,000 ness and reponse Procurement equipment, com- ity according modities, supplies for Central to Checklist (Lampsum, 1*15000 USD * of PHEOC 1320 MMK per year ) facilities MoHS Currently working (2) Upgrading the facility of S/R N 6,600,000 1*5000*1320 = 17 17 17 17 Unit for prepared- PHEOC of DoH 112200000 - 112,200,000 112,200,000 112,200,000 112,200,000 448,800,000 ness and reponse Procurement equipment, commodities, supplies for 17 States and Regions (Lampsum, 17*5000 USD * 1320 MMK per facility per year) JEE Indicator R.2.2 Emergency Operations Centre Operating Procedures and Plan JEE Scores 1 JEE recommendations * Identify and assign permanent staff for the PH EOC within an IMS structure, along with job descriptions and appropriate training * Develop a PHEOC plan / handbook with associated SOPS Initiate an exercise and continuous improvement programme for emergency preparedness and response by conducting at least one table-top and one functional exercise per year to reinforce IMS personnel training, skills and EOC 118 operations. * Develop SOPs for response operations, daily functions, managing cases of infectious patients, including at the points of entry Objective * To strengthen effective functioning of Public Health Emergency Operation Center against Public Health Emergencies 1 PHEOC Plan and SOPs MoHS Currently working (1) Hire National consultant National Plan/ SOPs Multi-Sectoral In- N 33,600,000 1 * 120 * (80000 + Number = 1 ; No of Days : 120 , Per 1 development Unit for prepared- to develop SOPs /necessary developed puts and Interest 200000) + 1 * 0 = diem = 80000 ; Daily rate = 200000 : - 33,600,000 - - - 33,600,000 ness and reponse plans for PHEOCs 33600000 Travel = 0 (1 National Consultant, 120 days) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Currently working (2) Meeting/ workshop to National Plan/ SOPs Multi-Sectoral In- N 8,165,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 2 Unit for prepared- develoment SOPs /necessary developed puts and Interest *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 16,330,000 - - - 16,330,000 ness and reponse plans + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 (50 participants, 20 Away, 2 250000 ( True) +50 Travel costs participants away = 95000, days, 2 times) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- + 10000True) + tionary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 MoHS Currently working (3) Meeting/ workshop to National Meeting/ Accurate Lessons, N 8,165,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 Unit for prepared- review and revise SOPs / workshop learnts is essential *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - - 8,165,000 - 8,165,000 16,330,000 ness and reponse necessary plans conducted + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 (50 participants, 20 Away, 2 250000 ( True) +50 Travel costs participants away = 95000, days, 2 times) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- + 10000True) + tionary = 2500, Venue = 250000, Printing 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 JEE Indicator R.2.3 Emergency Operations Program JEE Scores 2 JEE recommendations * Identify and assign permanent staff for the PH EOC within an IMS structure, along with job descriptions and appropriate training * Develop a PHEOC plan / handbook with associated SOPS * Initiate an exercise and continuous improvement programme for emergency preparedness and response by conducting at least one table-top and one functional exercise per year to reinforce IMS personnel training, skills and EOC operations. * Develop SOPs for response operations, daily functions, managing cases of infectious patients, including at the points of entry Objective * To strengthen effective functioning of Public Health Emergency Operation Center against Public Health Emergencies 1 Strengthening of PHEOC MoHS Currently working (1) Hire National consultant to National Exercise Technical Expert N 16,800,000 1 * 60 * (80000 + Number = 1 ; No of Days : 60 , Per diem = 1 functions effectively Unit for prepared- develop exercise modules module Person for this 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 16,800,000 - - - 16,800,000 ness and reponse for PHEOC. developed 16800000 (1 National Consultant, 60 days) MoHS Currently working (2) Conduct Simulation National Number Interest and N 10,435,000 ( 9000* (50 - 30 ) 1 Training : Per diem = 9000 Participants 1 1 1 Unit for prepared- Exercise or drills at Central of exercise practicing by *2 + 30 * 4 * 30000 = 50 Days = 2, Participants away = 30 - - 10,435,000 10,435,000 10,435,000 31,305,000 ness and reponse level conducted participants + 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (50 participants, 30 Away, 250000 ( True) +50 costs participants away = 95000, Tea 2 days, 1 times per year at * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Central level) + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 500000, Printing costs = 0, Disseminating +0+0 costs = 0 MoHS Currently working (3) Conduct Simulation Subnation- Number Interest and N 8,265,000 ( 9000* (50 - 20 ) 1 Training : Per diem = 9000 Participants 17 17 17 Unit for prepared- Exercise or drills at State and al Level of exercise practicing by *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - 140,505,000 140,505,000 140,505,000 421,515,000 ness and reponse Regional level (State / conducted participants + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (50 participants, 20 Away, 2 Region) 250000 ( True) +50 costs participants away = 95000, Tea days, 1 times per year at each * 2 * ( 15000True break = 10000, Lunch = 15000, Station- State and Region) + 10000True) + ary = 2500, Venue = 250000, Print Dis = 119 50 * 2500True ) * 1 300000, Printing costs = 0, Disseminating +0+0 costs = 0 JEE Indicator R.2.4 Case management procedures are implemented for IHR relevant hazards JEE Scores 2 JEE recommendations * Identify and assign permanent staff for the PH EOC within an IMS structure, along with job descriptions and appropriate training * Develop a PHEOC plan / handbook with associated SOPS * Initiate an exercise and continuous improvement programme for emergency preparedness and response by conducting at least one table-top and one functional exercise per year to reinforce IMS personnel training, skills and EOC operations. * Develop SOPs for response operations, daily functions, managing cases of infectious patients, including at the points of entry Objective * To strengthen effective functioning of Public Health Emergency Operation Center against Public Health Emergencies NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 1 To update after review/ MoHS - (1) Workshop/ meeting to National Guidelines/ Technical inputs N 10,535,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 1 1 revise or develop guide- update or develop necessary SOPs by multi-sectoral *3 + 20 * 5 * 30000 pants = 50 Days = 3, Participants away - 10,535,000 10,535,000 10,535,000 10,535,000 42,140,000 lines / SOPs for priotized guidelines or SOPs for prior- developed or stakeholders + 20 * 95000 + 3 * = 20 Days away = 5 Diem away = 30000 diseases and health tized diseases updated 250000 ( True) +50 Travel costs participants away = 95000, emergencies (50 participant, 20 Away, 3 * 3 * ( 15000True Tea break = 10000, Lunch = 15000, days, 1 times per year) + 10000True) + Stationary = 2500, Venue = 250000, Print 50 * 2500True ) * 1 Dis = 200000, Printing costs = 0, Dissemi- +0+0 nating costs = 0 MoHS - (2) Printing, publishing and National Number of Budget N 10,000,000 1 1 distribution of the developed each type of - - 10,000,000 - 10,000,000 20,000,000 guidelines and SOPs Guidelines/ (2000 set, 5000MMK per set) SOPs printed or distrib- uted No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 2 Exercises for guidelines / MoHS - (1) Hire National consultant to National Exercise Tight schedules N 11,200,000 1 * 40 * (80000 + Number = 1 ; No of Days : 40 , Per diem = 1 1 SOPs/ exercise modules develop exercise modules for module by trainers and 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 11,200,000 11,200,000 - - 22,400,000 for priotized diseases essential Guidelines and SoPs developed trainees 11200000 and health emergencies (1 National Consultant, 40 day, 2 times) MoHS - (1) Exercise on revised Guide- National Number of Tight schedules N 10,435,000 ( 9000* (50 - 30 ) 1 Training : Per diem = 9000 Participants 1 1 1 line and SoPs at Central level exercises by trainers and *2 + 30 * 4 * 30000 = 50 Days = 2, Participants away = 30 - - 10,435,000 10,435,000 10,435,000 31,305,000 (50 participants, 30 Away, 2 conducted trainees + 30 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel days, 1 times per year) 250000 ( True) +50 costs participants away = 95000, Tea * 2 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Print Dis = 50 * 2500True ) * 1 500000, Printing costs = 0, Disseminating +0+0 costs = 0 MoHS - (2) Exercise on revised Guide- S/R Number of Tight schedules N 7,965,000 ( 9000* (50 - 20 ) 1 Training : Per diem = 9000 Participants 10 7 line and SoPs at 17 State and exercises by trainers and *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - - 79,650,000 55,755,000 135,405,000 Regions conducted trainees + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (50 participants, 30 Away, 2 250000 ( True) +50 costs participants away = 95000, Tea days, 1 times for each State * 2 * ( 15000True break = 10000, Lunch = 15000, Station- and Region) + 10000True) + ary = 2500, Venue = 250000, Printing 120 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 3 Review and revise the MoHS - (1) Workshop/ meeting to National Updated Accurate Lessons, N 8,265,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 developed documents do review and revise the guidelines/ learnts is essential *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - - - - 8,265,000 8,265,000 for guidelines / SOPs/ guidelines/ SOPs and exercise SOPs devel- + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 exercise modules for modules oped 250000 ( True) +50 Travel costs participants away = 95000, priotized diseases and (50 participant, 20 Away, 2 * 2 * ( 15000True Tea break = 10000, Lunch = 15000, health emergencies days, 1 times per year) + 10000True) + Stationary = 2500, Venue = 250000, Print 50 * 2500True ) * 1 Dis = 300000, Printing costs = 0, Dissemi- +0+0 nating costs = 0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 RESPONSE General Objective: To establish a functional system and mechanism for effective multi-sectoral national and international response to all public health events. GOAL Total TECHNICAL AREA Respond 3 Linking Public Health and Security Authorities Estimated cost JEE Indicator R.3.1 Public Health and Security Authorities, (e.g. Law Enforcement, Border Control, Customs) are linked during a suspect or confirmed biological event (USD) JEE Scores 1 83,019.23 JEE recommendations * Develop a Memorandum of Understanding (MOU) or other agreement between public health and security organizations, which defines the criteria that Total trigger immediate sharing of information. Estimated cost * Develop SOPs for joint public health and security risk assessment of potential deliberate biological incidents that have both public health and security Total cost per year of implementation (Local currency) ramifications, as well as for implementing the information sharing MOU. (Kyats) * Develop a joint exercise program between public health and security authorities that tests and improves plans and procedures. Objective Enable country to conduct a rapid, multisectoral respose in case of a biological event of sespectd or confirm deliberated origin. - 50,335,000 44,025,000 17,575,000 17,575,000 129,510,000 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 121 holder" tional) 1 Development of MOU or MOHS/ National Disaster (1) Mid-level Meeitngs/ National Draft aggre- (1)Poor formal N 8,165,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 other Agreement or Ministry of Management Workshop for develop draft ment/MOU co-ordination *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - 8,165,000 8,165,000 - - 16,330,000 Definite plan between Defense/ Committee aggrement between developed (2)Weakness in + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel public helath and se- Ministry of already existed, public Health and Security written documen- 250000 ( True) +50 costs participants away = 95000, Tea curity organizations for Home affaris/ but need to Organizatoins for better tation * 2 * ( 15000True + break = 10000, Lunch = 15000, Station- better co-ordination and MSWRR/ modify for better coordination and reponse to (3)No previous 10000True) + 50 * ary = 2500, Venue = 250000, Printing response to biological local gov/ co-ordination and biological Events. experince of MOU/ 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 events MoALI communication (50 participants, 20 Away, 2 agreeement be- days, 2 times) tween Ministries (4)Need for Nego- tiation Process NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (2) High Level Meeting on National Finalized Commitments N 7,260,000 ( 9000* (40 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 advocacy for drafted MOU Agreement/ and Interests by *2 + 20 * 4 * 30000 pants = 40 Days = 2, Participants away - - 7,260,000 - - 7,260,000 or other Agreement or MOU Decision makers + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 Definite plan to do decision 250000 ( True) +40 Travel costs participants away = 95000, making (1 Time) * 2 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- (40 participants, 20 Away, 2 10000True) + 40 * tionary = 2500, Venue = 250000, Printing days 1 times) 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 (3) Workshop on finaliza- National Documented Commitments N 5,230,000 ( 9000* (40 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 tion of aggred meeting MOU of Stakeholder *1 + 20 * 3 * 30000 = 40 Days = 1, Participants away = 20 - - 5,230,000 - - 5,230,000 minutes/aggreement between and responsible + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel documentaion (written Public health persons 250000 ( True) +40 costs participants away = 95000, Tea documents) signed by higher and Security * 1 * ( 15000True + break = 10000, Lunch = 15000, Station- authorities Authorities 10000True) + 40 * ary = 2500, Venue = 250000, Printing (40 participants, 20 Away, 2 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 days 1 times) No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (4) Workshop/Meeting on National Ready to N 5,795,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 dissemination of Agreements implement *1 + 20 * 3 * 30000 pants = 50 Days = 1, Participants away - - 5,795,000 - - 5,795,000 to related ministries for formal in biolog- + 20 * 95000 + 1 * = 20 Days away = 3 Diem away = 30000 acception ical event 250000 ( True) +50 Travel costs participants away = 95000, (50 participants, 20 Away, 1 according * 1 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- day, 1 times) to approved 10000True) + 50 * tionary = 2500, Venue = 250000, Printing aggrement 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 (5) Regular Coordination National Formal com- Functioning of N 1,345,000 ( 9000* (30 - 0 ) *1 + 0 1 Meeting : Per diem = 9000 Participants 1 1 1 Meeting to discuss Information munication communication * 3 * 30000 + 0 * 95000 = 30 Days = 1, Tea break = 10000, Lunch - - 1,345,000 1,345,000 1,345,000 4,035,000 sharing criteria and linkage channel + 1 * 250000 ( True) = 15000, Stationary = 2500, Venue = channel clarification Established +30 * 1 * ( 15000True 250000, Printing costs = 0, Disseminating (30 participants, 0 Away, 1 + 10000True) + 30 * costs = 0 days 1 times) 2500True ) * 1 + 0 + 0 2 To conduct public health MOHS/ (1) Table-Top Exercise or Simu- National Number of N 8,165,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 emergency reponse or Ministry of lation exercise exercises *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - 8,165,000 8,165,000 8,165,000 24,495,000 exercise including all Defense/ (50 participants, 20 Away, 2 done + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel public health security Ministry of days, 1 time per year) 250000 ( True) +50 costs participants away = 95000, Tea agencies to test the Home affaris/ * 2 * ( 15000True + break = 10000, Lunch = 15000, Station- efficiency of the agree- MSWRR and 10000True) + 50 * ary = 2500, Venue = 250000, Printing 122 ment/MOU other realted 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 Ministries 3 Development of SOPS MOHS/MoA- CBRN plan (1) Workshop for development National SoP Drafted Participation and N 7,965,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 2 for better co-ordination LI/ Ministry SoPs for Co-ordination mech- interest *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 15,930,000 - - - 15,930,000 and risk assessment/ of Defense/ anism for coordination and + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 response to biological Ministry of assessment/response to risks 250000 ( True) +50 Travel costs participants away = 95000, events Home affaris/ fo biological events * 2 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- MSWRR (50 participants, 20 Away, 2 10000True) + 50 * tionary = 2500, Venue = 250000, Printing days, 2 times) 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 (2) Workshop to finalize Draft National SoPs Final- N 7,965,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) SOP for Co-ordination mecha- ized *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 7,965,000 - - - 7,965,000 nism and response + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 (50 participants, 20 Away, 2 250000 ( True) +50 Travel costs participants away = 95000, days, 2 times) * 2 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- 10000True) + 50 * tionary = 2500, Venue = 250000, Printing 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 (3) Workshop for dessimina- National SoP des- N 10,210,000 ( 9000* (80 - 40 ) 1 Workshop : Per diem = 9000 Partici- 1 tion of finalized SOP to related simination *1 + 40 * 3 * 30000 pants = 80 Days = 1, Participants away - 10,210,000 - - - 10,210,000 ministries and stakeholders workshop + 40 * 95000 + 1 * = 40 Days away = 3 Diem away = 30000 (80 participants, 40 Away, 1 done 250000 ( True) +80 Travel costs participants away = 95000, day, 1 times) * 1 * ( 15000True + Tea break = 10000, Lunch = 15000, Sta- 10000True) + 80 * tionary = 2500, Venue = 250000, Printing 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 4 Co-ordinating meet- MOHS/MoA- Civil Military (1) Annual Civil Military National Number Commitments, N 8,065,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 ings between civil and LI/ Ministry Co-ordination Co-ordination and evaluation of Annual Supports and *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - 8,065,000 8,065,000 8,065,000 8,065,000 32,260,000 military orgainzations of Defense/ meeting regarding meeting regarding Disasters Meeting interest + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel for information sharing Ministry of Disasters man- managemnet, preparedness done 250000 ( True) +50 costs participants away = 95000, Tea and co-ordinated Home affaris/ agemnet ( 2 times and Response * 2 * ( 15000True + break = 10000, Lunch = 15000, Station- reponse for public MSWRR already done) (50 participants, 20 Away, 2 10000True) + 50 * ary = 2500, Venue = 250000, Printing emergency day, 1 times per year) 2500True ) * 1 + 0 + 0 costs = 0, Disseminating costs = 0 123 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 RESPONSE General Objective: To establish a functional system and mechanism for effective multi-sectoral national and international response to all public health events. GOAL Total TECHNICAL AREA Respond 4 Medical Countermeasures and Personnel Deployment Estimated cost JEE Indicator R.4.1 Capacity to Activate Emergency Operations (USD) JEE Scores 1 475,046.67 JEE recommendations * Develop a national plan for identifying procedures and decision making related to sending and receiving medical countermeasures during public Total health emergencies Estimated cost * Improving access to in-place stockpiles of countermeasures matching the risks that you foresee Total cost per year of implementation (Local currency) * Develop a national plan for identifying procedures and decision making related to sending and receiving health personnel during public health emer- (Kyats) gencies To strengthen procedures and decision-making criteria for requesting and sending medical countermeasures and health personnel during public health Objective emergencies - 637,476,400 37,476,400 33,060,000 33,060,000 741,072,800 To promote capacity for storage and stockpiling of medicines and medical equipments No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 124 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Develop National SOPs MOHS Routine registra- (1) Internal meeting/ work- National Draft (1) No existing N 8,165,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 for receiving/sending (FDA,MS)/ tion and prermis- shops with multi-secotorial national SOP SOP *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 8,165,000 8,165,000 - - 16,330,000 mechainsm of medical MMC/ sion for receving approaches and participation for receiving/ (2) No document- + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 countermeasures MOFA/ MOC/ donation (For to develop and finalization sending ed procedures 250000 ( True) +50 Travel costs participants away = 95000, LVBD-MoALI ordinary operation of Receiving/Sending mechainism for receiving/ * 2 * ( 15000True Tea break = 10000, Lunch = 15000, MOPF includ- procedures) Mechanism/SOP (draft) of finalized sending medical + 10000True) + Stationary = 2500, Venue = 250000, Print ing custom/ Medical Counter Measures countermeasures 50 * 2500True ) * 1 Dis = 200000, Printing costs = 0, Dissemi- Immigration/ with WHO technical assitance in emergency +0+0 nating costs = 0 ministry of (50 participant, 20 Away, 2 conditions border af- day, 2 times) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) fairs/ MOD (2) Hiring International National SOPs drafted N 10,573,200 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 1 Consultant to develope + 660000) + = 238920 ; Daily rate = 660000 : Travel - 10,573,200 10,573,200 - - 21,146,400 Mechanism/SOP for send- 1 * 1584000 = = 1584000 ing or receiving of medical 10573200 counermeasures during a public health emergency (1 International Consultant, 10 days) (3) Table-top exercises National Number Need more N 8,265,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 to demonstrate sending of exercise practices and *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - - 8,265,000 8,265,000 16,530,000 or receiving of medical done, communication + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel counermeasures during a sending or 250000 ( True) +50 costs participants away = 95000, Tea public health emergency for receiving * 2 * ( 15000True break = 10000, Lunch = 15000, Station- management level of medical + 10000True) + ary = 2500, Venue = 250000, Printing (50 participants, 20 Away, 2 counter- 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days 1 times per 2 years) measures +0+0 mechanism experienced (4) Rountine Formal National Number Need more N 8,265,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 exercise or simulation for of exercise practices and *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - - - 8,265,000 8,265,000 16,530,000 sending/receiving of medical done, communication + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 countermesures during a sending or 250000 ( True) +50 Travel costs participants away = 95000, public health emergency for receiving * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- functional level of medical + 10000True) + tionary = 2500, Venue = 250000, Printing (50 participants, 20 Away, 2 counter- 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days 1 times per 2 years) measures +0+0 mechanism experienced 2 Medical Depots con- MOHS , MO- (1) Construction of Medical National 4 Medical Budget Approval, N 150,000,000 4 struction for receiving/ Constrution Depot to keep and store & subna- Depots in Technical Chal- - 600,000,000 - - - 600,000,000 sending and storing Stockpiles of commodities and tional central and lengences for supplies for readiness of stock rakhine, Disaster resiience at temporary location of Nay- ayeyarwad- structrue design pyitaw, Mandalay, Yangon dy, Shan/ and Pathein Mandalay constructed 125 JEE Indicator R.4.2 System is in place for sending and receiving health personnel during a public health emergency JEE Scores 1 JEE recommendations * Develop a national plan for identifying procedures and decision making related to sending and receiving medical countermeasures during public health emergencies * Improving access to in-place stockpiles of countermeasures matching the risks that you foresee * Develop a national plan for identifying procedures and decision making related to sending and receiving health personnel during public health emergencies Objective * To Strengthen implemention in sending and receiving health personnel during the emergency resoponse 1 Develop national SOPs MOHS/ Routine registra- (1) Internal meeting/ work- National Draft (1) No existing N 8,165,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 for receiving/ sending MOFA/ MMC/ tion and prermis- shops with multi-secotorial national SOP SOP *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - 8,165,000 8,165,000 - - 16,330,000 of mechainsm of Immigration/ sion for receving approaches and participation for receiving/ (2) No document- + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) health personnel ministry health personnel to develop and finalization sending ed procedures 250000 ( True) +50 Travel costs participants away = 95000, of border (For ordinary of Receiving/Sending mechainism for receiving/ * 2 * ( 15000True Tea break = 10000, Lunch = 15000, affairs procedures) Mechanism/SOP (draft) with sending medical + 10000True) + Stationary = 2500, Venue = 250000, Print WHO technical assitance countermeasures 50 * 2500True ) * 1 Dis = 200000, Printing costs = 0, Dissemi- (50 participant, 20 Away, 2 in emergency +0+0 nating costs = 0 day, 2 times) conditions (2) Hiring International National SOPs drafted N 10,573,200 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 1 1 Consultant to develope + 660000) + = 238920 ; Daily rate = 660000 : Travel - 10,573,200 10,573,200 - - 21,146,400 Mechanism/SOP for send- 1 * 1584000 = = 1584000 ing or receiving of health 10573200 personnel during a public health emergency (1 International Consultant, 10 days) No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (3) Table-top exercises to National Number Need more N 8,265,000 ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 demonstrate sending or re- of exercise practices and *2 + 20 * 4 * 30000 = 50 Days = 2, Participants away = 20 - - - 8,265,000 8,265,000 16,530,000 ceiving of Health Personnel done, communication + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel during a public health emer- sending or 250000 ( True) +50 costs participants away = 95000, Tea gency for management level receiving * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (50 participants, 20 Away, 2 of medical + 10000True) + ary = 2500, Venue = 250000, Printing days 1 times per 2 years) counter- 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 measures +0+0 mechanism experienced (4) Rounting Formal National Number Need more N 8,265,000 ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 exercise or simulation for of exercise practices and *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away - - - 8,265,000 8,265,000 16,530,000 sending/receiving of Health done, communication + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 Personnel during a public sending or 250000 ( True) +50 Travel costs participants away = 95000, health emergency for func- receiving * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- tional level of medical + 10000True) + tionary = 2500, Venue = 250000, Printing (50 participants, 20 Away, 2 counter- 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days 1 times per 2 years) measures +0+0 mechanism experienced 126 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 RESPONSE General Objective: To establish a functional system and mechanism for effective multi-sectoral national and international response to all public health events. GOAL Total TECHNICAL AREA Respond 5 Risk Communication Estimated cost JEE Indicator R.5.1 Risk Communication Systems (plans, mechanisms, etc.) (USD) JEE Scores 1 242,627.18 JEE recommendations * Develop an all-hazards national risk communications plan Total Estimated cost * Establish suitable funding to implement national risk communications plan and functions Total cost per year of implementation (Local currency) (Kyats) Objective To strengthen multi-sectoral, multifactoral and multi-level for public health Emergencies 18,875,000 47,018,100 107,776,100 107,776,100 97,053,100 378,498,400 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Develop an all-hazard MOHS/MS- (1) International (1) Workshops to develop draft National Draft plan (1) not existing all N ( 9000* (50 - 20 ) 1 Workshop : Per diem = 9000 Partici- 1 1 127 National Risk Commu- WRR/ MOI Conusultant al- plan for all-hazard national developed hazard risk com- 8,165,000 *2 + 20 * 4 * 30000 pants = 50 Days = 2, Participants away 8,165,000 8,165,000 - - - 16,330,000 nication Plan ready appointed risk communication plan and and finalized munication plan + 20 * 95000 + 2 * = 20 Days away = 4 Diem away = 30000 (2) TOT training mechanism (2) poor formal 250000 ( True) +50 Travel costs participants away = 95000, on risk communi- (50 participants, 20 Away, 2 co-ordination and * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- cation for health days, 2 times) its' mechanism + 10000True) + tionary = 2500, Venue = 250000, Printing personnel from among minitstries 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 central and States +0+0 and Regions (2) existing National Standing order for Natural Disaster events , CBRN plan for ra- NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) dio and chemical events (draft) (2) Central level Advocacy National Meeting Commitments by N ( 9000* (70 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 Meetings/Workshops and Adocacy Multi sectors 6,325,000 *1 + 20 * 3 * 30000 = 70 Days = 1, Participants away = 20 - 6,325,000 6,325,000 6,325,000 6,325,000 25,300,000 of all-hazard national risk to higher + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel communication plan and authorities 250000 ( True) +70 costs participants away = 95000, Tea mechanism and related * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (70 participants, 20 Away, 1 sectors and + 10000True) + ary = 2500, Venue = 250000, Printing days, 1 times per year) to functiong 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 staff done +0+0 2 Availability of MOHS/ MS- Budgeting for (1) Meetings on Advocacy on National Funding Less awarness for N ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 1 Suitable funding to WRR/ MOI existing ongoing government funding and part- source the risk communi- 1,370,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = 5 1,370,000 - - - - 1,370,000 implement national risk activities and ner funding with Stakehoders cation sector + 5 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel communications plan awareness raising (20 participants, 5 Away, 250000 ( False) +20 costs participants away = 95000, Tea and functions events for advo- 2 times) * 1 * ( 15000False break = 10000, Stationary = 2500, Print cacies + 10000True) + Dis = 60000, Printing costs = 0, Dissemi- 20 * 2500True ) * 1 nating costs = 0 +0+0 JEE Indicator R.5.2 Internal and Partner Communication and Coordination JEE Scores 3 JEE recommendations * Ongoing assessment of the effectiveness of public information messaging, including formalizing system for feedback and adjusting messaging as appropriate Objective * To strengthen Functioning of Risk Communication No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 Communication line CEU-MoHS, All Harzards Risk (1) Multi sectoral Meeting on National Communi- Lack of formal N ( 9000* (20 - 5 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 developed for risk com- multi-sec- Communication Formation and Functioning catin line line of communi- 1,370,000 *1 + 5 * 3 * 30000 = 20 Days = 1, Participants away = 5 1,370,000 1,370,000 1,370,000 1,370,000 1,370,000 6,850,000 muncation mechanism torial and Plans of Formal Organization of developed cation + 5 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel in case of events multi-level Core Task Force 250000 ( False) +20 costs participants away = 95000, Tea (20 participants, 5 Away, 1 day, * 1 * ( 15000False break = 10000, Stationary = 2500, Print 2 times,- operation cost) + 10000True) + Dis = 60000, Printing costs = 0, Dissemi- 128 20 * 2500True ) * 1 nating costs = 0 +0+0 JEE Indicator R.5.3 Public Communication JEE Scores 3 JEE recommendations * Establish suitable funding to implement national risk communications plan and functions Ongoing assessment of the effectiveness of public information messaging, including formalizing system for feedback and adjusting messaging as appropriate Objective * To promote dissemination of information on health risk and events to Public 1 Conduct ongoing MOHS/ MS- (1) IEC materials (1) Meeting for firstly defining National/ Unit for risk (1)No permanent N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) assessment of the WRR/ MOI for health infor- of specific Unit to take Role S&R communi- desingnated focal 3,985,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = 15 3,985,000 - - - - 3,985,000 effeciveness of public mation, as lead for risk communication cation at person for risk + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel information messaging (2) Disaster including Public realated communication 250000 ( True) +30 costs participants away = 95000, Tea inculding formalizing Alert Notifi- (30 participants, 15 Away, 1 ministry 2)No Public * 1 * ( 15000True break = 10000, Lunch = 15000, Station- system for feedback and cation(DAN),a day, 1 times) Designated, Realtion expert + 10000True) + ary = 2500, Venue = 250000, Printing adjusting messaging as moblie application and especially in 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 appropriate for disaster risk better MOHS +0+0 communication communi- (3) Mulitple cation line platforms for developed disseminating information to the public (TV chan- nels,raido,social media, printed media)with different ethnic languages MOHS/ MS- Training on Public (2) Trainings on Public Com- National/ Number of Interest and prac- N ( 9000* (30 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 2 2 2 WRR/ MOI Communication munication for biological S&R Training on tical utilization 4,585,000 *2 + 10 * 4 * 30000 = 30 Days = 2, Participants away = 10 - 4,585,000 9,170,000 9,170,000 9,170,000 32,095,000 for the staffs from event/response for staff from Risk com- by staff + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel HLPU-MoHS designated Unit. munication 250000 ( True) +30 costs participants away = 95000, Tea (30 participants, 10 Away, 2 functions are * 2 * ( 15000True break = 10000, Lunch = 15000, Station- day, 1 times per year) trained for + 10000True) + ary = 2500, Venue = 250000, Printing designated 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 Unit done +0+0 JEE Indicator R.5.4 Communication Engagement with Affected Communities JEE Scores 2 JEE recommendations * Establish suitable funding to implement national risk communications plan and functions Ongoing assessment of the effectiveness of public information messaging, including formalizing system for feedback and adjusting messaging as appropriate Objective * To enable Health Staff how to manage and handle information of risk and events on current situation and Public 1 Promote Capacity of MOHS/ MS- Training on Public (1) workshops/Trainings on Nation- Risk com- (1) Human re- N ( 9000* (35 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 staff on risk communi- WRR/ MOI Communication Risk Communication plan al(Central) munication source and facility 6,907,500 *2 + 20 * 4 * 30000 = 35 Days = 2, Participants away = 20 - 6,907,500 6,907,500 6,907,500 6,907,500 27,630,000 cation and managee- for the staffs from and Mechanism for relevant funtion will limited + 20 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel ment through Advocacy HLPU-MoHS Staff Central Level be over- (2) Interest and 250000 ( True) +35 costs participants away = 95000, Tea training at all States and (35 participants, 20 Away, whelmed practical utiliza- * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Regions for risk commu- 2 days) across the tion by staff + 10000True) + ary = 2500, Venue = 250000, Printing nication country 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 (2) workshops/Trainings on Subnation- Risk com- (1) Human re- N ( 9000* (50 - 34 ) 1 Meeting : Per diem = 9000 Participants 6 6 5 Risk Communication plan al (State/ munication source and facility 10,723,000 *2 + 34 * 4 * 30000 = 50 Days = 2, Participants away = 34 - - 64,338,000 64,338,000 53,615,000 182,291,000 and Mechanism for relevant Region) funtion will limited + 34 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel 129 Staff with Sites selection of be over- (2) Interest and 250000 ( True) +50 costs participants away = 95000, Tea high risk areas at Stats and whelmed practical utiliza- * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Regions across the tion by staff + 10000True) + ary = 2500, Venue = 250000, Printing (50 participants, 34 Away, 2 country 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 days, 1 times for each) +0+0 JEE Indicator R.5.5 Dynamic Listening and Rumour Management JEE Scores 2 JEE recommendations * Establish proactive and ongoing engagement with communities in areas where engagement is currently limited, to help inform messaging and risk assessment. Objective * To strengthen Management Capacity of information NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 1 Appoint team for MOHS/ MS- Ad hoc functions (1) Meeting firstly for defining National/ Designated (1)No permanent N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 Media survelliance WRR/ MOI to Manage Medial of specific Unit to take Role Sub-na- Unit for desingnated focal 3,985,000 *1 + 15 * 3 * 30000 = 30 Days = 1, Participants away = 15 3,985,000 - - - - 3,985,000 functions and rumors Surveillance and as lead for Media survelliance tional r Media person for Media + 15 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel verification rumors functions and rumors survelliance survelliance func- 250000 ( True) +30 costs participants away = 95000, Tea verification functions tions and rumors * 1 * ( 15000True break = 10000, Lunch = 15000, Station- (30 participants, 15 Away, 1 and rumors verification + 10000True) + ary = 2500, Venue = 250000, Printing day, 1 times) verification (2)No Public 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 at realated Realtion expert +0+0 ministry especially in and better MOHS communi- cation line developed No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- bud- budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges get(y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) Media relation (2) Trainings on Media National/ Media Finding technical N ( 9000* (50 - 34 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 training conduct- Relation, verification and Sub-na- survelliance experts 13,587,000 *3 + 34 * 5 * 30000 = 50 Days = 3, Participants away = 34 - 13,587,000 13,587,000 13,587,000 13,587,000 54,348,000 ing in MOI response for the staff form tional functions + 34 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel designated Unit by Public and rumors 250000 ( True) +50 costs participants away = 95000, Tea Relation expert verification * 3 * ( 15000True break = 10000, Lunch = 15000, Station- (50 participant, 34 Away, 3 functions are + 10000True) + ary = 2500, Venue = 250000, Printing days, 1 times per year) trained for 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 staff from +0+0 designated persons Unint (3) hiring of Public Relation National/ Media Finding technical N 1 * 5 * (238920 Number = 1 ; No of Days : 5 , Per diem 1 1 1 1 Expert Sub-na- survelliance experts 6,078,600 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 6,078,600 6,078,600 6,078,600 6,078,600 24,314,400 (1 international consultant, 5 tional functions 1584000 = 6078600 = 1584000 days per each training) and rumors verification functions are trained for staff from designated persons 130 Unint NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 Other IHR-related hazards and Points of Entry (PoE) General Objective: To establish and maintain the core capacities at designated points of entry for routine and timely detection and prompt effective response of any potential hazards. GOAL Total TECHNICAL AREA Other IHR & PoE 1 Points of Entry (PoE) Estimated cost JEE Indicator PoE.1 Routine capacities are established at PoE (USD) JEE Scores 2 3,692,639.83 JEE recommendations * Develop and implement an encompassing National Public Health Emergency Contingency Plan for the designated points of entry and link it with the national public health emergency plans. Total * Human resource capacity building and plan including for the animal health staff and staff at the ground crossings. Estimated cost * Conduct a formal evaluation for the PoEs core capacities and response to likely public health emergencies. Total cost per year of implementation (Local currency) * Establish/improve measures for vector control, safe environment and animal quarantine at the designated PoEs (Kyats) Objective To strengthen surveillance, detection, management of response at PoE 2,051,811,000 931,066,640 1,137,378,500 616,283,500 1,023,978,500 5,760,518,140 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- budget budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges (y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 131 budget line or sub-na- 8 9 0 1 2 holder" tional) 1 To Review and revise MOHS and All Disease specific (1) Hire National consultants National All hazard Intra- and Inter- N 1 * 14 * (80000 + Number = 1 ; No of Days : 14 , Per diem = 3 Current PoEs Plan and Stakeholders plan and SOP for for 2 weeks to review and plan and departmental 3,920,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 11,760,000 - - - - 11,760,000 SOP in multi-sectoral PHEIC (eg; Ebola, provide draft recommendation SoP for PoE collaboration of 3920000 aspects to create Zika, Influenza) on Existing POE plans and drafted all stakeholders at linkage to the National SOP/traning modules PoE especially in Public Health Emergency (3 National Consultant for ground crossing to Plan 14 days) implement plan (2) Workshop on Agreement National Draft SOP Conflict of roles N ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) and finalization of drafted developed in stakeholders at 9,175,000 *1 + 25 * 3 * 30000 = 50 Days = 1, Participants away = 25 9,175,000 - - - - 9,175,000 PoE plan, SoPs and Train- POES in SOPs + 25 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel ing Modules with national 250000 ( True) +50 costs participants away = 95000, Tea stakeholders * 1 * ( 15000True break = 10000, Lunch = 15000, Extrea (50 participants, 25 Away, 1 + 10000True) + pp = 50000, Stationary = 2500, Venue = day, 1 times) 50 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs +0+0 = 0, Disseminating costs = 0 (3) Trainings and Simulation National Number of Multi sector N ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 exercises on revised Plans trainings Involvement by 11,650,000 *2 + 25 * 4 * 30000 = 50 Days = 2, Participants away = 25 11,650,000 - - - - 11,650,000 and SoPS for staff from the and staff functional level of + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel designated PoE trained - stakeholders 250000 ( True) +50 costs participants away = 95000, Tea (50 participants, 25 Away, 2 * 2 * ( 15000True break = 10000, Lunch = 15000, Extrea day, 1 times) + 10000True) + pp = 50000, Stationary = 2500, Venue = 50 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs +0+0 = 0, Disseminating costs = 0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- budget budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges (y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (4) Monitoring the implemen- National/ Number of Availability of N 2 * 2* 31000 + 2 * 9 9 9 9 tation of POE plans by using subna- supervision time for supervi- 630,000 95000 + 1 * 132000 - 5,670,000 5,670,000 5,670,000 5,670,000 22,680,000 SOP through evaluation and tional visit (1 time sion visit * 2 + 2 * 1 * 26000 supervisory visit at all existing every year) = 630000 designated PoE (2 persons from Central, 2 days per visit, 1 visit per year for existing 9 designated PoE) (5) Monitor the implemen- N 2 * 2* 31000 + 2 * 10 10 10 10 tation of POE plans by using 630,000 95000 + 1 * 132000 - 6,300,000 6,300,000 6,300,000 6,300,000 25,200,000 SOP through evaluation and * 2 + 2 * 1 * 26000 supervisory visit upcoming = 630000 International Airports & Seaports (2 persons from Central, 2 days per visit, 1 visit per year for up- coming 10 designated PoE) 2 To strengthen existing MOHS, MOALI Organization (1) HR recruitment for 5 National At least 60% (1) There is no Y Government 1*275000*12+3*21 5 5 5 5 orgnisational set up set up for IHR, ground crossing designated of the vacan- accomodation, 21,480,000 8000*12+1*27500 1 Medical Officer : 275000 : 12 Months - 107,400,000 107,400,000 107,400,000 107,400,000 429,600,000 and procurements for DOPH (Existing 5 PoE cy in existing transportation 0*12+2*218000*12 132 Quarantine service Ground crossing - 1 medical officer, 3 BHS, 1 organization and incentive for +1*150000*12=21 3 Basic Health Staff : 218000 : 12 Months (Both human and ani- designated PoEs driver, 1 Ambulance, + 1 Vet- set up the staffs espe- 480000 mal sectors) especially in and upcoming anary, 2 Vetanary assistant for especially cially working in 1 Vet Surgeon : 275000 : 12 Months Ground Crossings International Existing 5 designated Ground in ground remote border Airports and Crossing PoEs: crossing areas. 2 Vetanary Assistant: 218000: 12 months Seaports (5 Inter- ( 5 ground crossing- Muse, filled with (2) Security is also 5 Driver : 150000 : 12 Months national Airports: Tachileik, Myawaddy, new as- major challenge Hantharwady, KyawThaung, Mese/Three signed staff in some areas. 1 Ambulance: 70000000 Nyaung Oo, Heho, Pagoda Pass, (3) Also need to Myeik, Dawei/ and 3 International Airports- Yan- recruit the staffs 5 International gon, Manday, Naypyitaw, who are willing Seaports: Dawei, 1 seaport- Yangon) to work in ground Myeik, Kaw- crossing PoEs. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) thaung, Kyauk Phyu, Sittwe) (2) HR recruitment for upcom- National Time for opening N 1*275000*12+3*21 10 10 10 10 ing 10 designated PoE and functioning of 21,480,000 8000*12+1*27500 1 Medical Officer : 275000 : 12 Months - 214,800,000 214,800,000 214,800,000 214,800,000 859,200,000 1 medical officer, 3 BHS, 1 upcoming PoEs 0*12+2*218000*12 driver, 1 Ambulance, + 1 Veta- Organization Set +1*150000*12=21 3 Basic Health Staff : 218000 : 12 Months nary, 2 Vetanary assistant up and Budget 480000 (5 International Airports: Approval 1 Vet Surgeon : 275000 : 12 Months Hantharwady, Nyaung Oo, Heho, Myeik, Dawei/ and 5 2 Vetanary Assistant: 218000: 12 months International Seaports: Dawei, 5 Driver : 150000 : 12 Months Myeik, Kawthaung, Kyauk Phyu, Sittwe) 1 Ambulance: 70000000 (3) Mobilzation of existing National Number and Adminstrative N 2 * 7* 31000 + 2 * 10 10 10 10 wokforces from other PoE or and Subna- frequency arrangement to 1,730,000 95000 + 1 * 132000 - 17,300,000 17,300,000 17,300,000 17,300,000 69,200,000 from Rapid Response Team, tioanl of visit by mobilize staff * 7 + 7 * 1 * 26000 state/region in Public Health mobilized from other units = 1730000 (for 2 Eemergency situiation. Meet- staff for PHE times per year) ing with stakeholders from events PoE and states/regions, and workfore development unit (2 staff, 7 days, for 5 Ground Crossing PoE, 2 times per year) (4) Living expense for staffs National Number and Adminstrative N 2 * 7* 31000 + 2 * 10 10 10 10 who will be mobilized to and Subna- frequency arrangement to 1,730,000 95000 + 1 * 132000 - Public Health Eemergency si- tioanl of visit by mobilize staff * 7 + 7 * 1 * 26000 tuiation at 5 Ground Crossing mobilized from other units = 1730000 (for 2 (2 staff, 7 days, for 5 Ground staff for PHE times per year) Crossing PoE, 2 times per year) events (This cost is included in above mobilization actvities PoE.1.2.3) (5) Procurement of Motobike National Number of Procurment and Y ADB 2100000*54 54 for Transportation/movement and Subna- motor bites bidding process 2,100,000 - - 113,400,000 - - 113,400,000 by staffs tioanl procured can take long (54 motorcycles ) (ADB will (1 for each period support only 36) staff) (6) Transportation expense National Number Procurment and Y ADB 0.5*365*54*3500 1 1 1 for staffs and Subna- of fuel bidding process 34,492,500 - - 34,492,500 34,492,500 34,492,500 103,477,500 (for Fuel for 54 motorcycles) tioanl procured and can take long (0.5 Gallon per Motorcycle per used (1 for period 133 day for 365 days - year) each staff) (7) Establish quarantine National Number of Comittment from N No cost related activity in some PoEs 5 facilities 1. Isolation room at 5 and Subna- quarantine POES authorities 50,000,000 - 250,000,000 - - - 250,000,000 Ground Crossing PoE tioanl facilities at POEs (1 for every PoE) (8) Procurement of Screening National Appropriate Procurment and N 1 1 1 tools and Subna- screeni ng bidding process 407,695,000 407,695,000 - 407,695,000 - 407,695,000 1,223,085,000 (8 Infrared Thermal Scanner, tional tool for can take long 57 Non-contact thermal gum) period (9) PoE Kit (PPE, RRT Kit National Adequate Procurment and N 1 1 1 1 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (Including disinfectant and and Subna- logisitcs bidding process 64,600,000 64,600,000 64,600,000 64,600,000 64,600,000 64,600,000 323,000,000 Emergency medicine, …) 30 tioanl supply can take long PPE sets for 1 PoE per Year, 2 period RRT Kits for 1 PoE per Year (10) Patient Referral - Pro- National Number of Procurment and N 1*250000000 5 curement of and Subna- ambulances bidding process 250,000,000 1,250,000,000 - - - - 1,250,000,000 5 ambulances for all 5 desig- tioanl procured can take long nated Ground Crossings period (11) Patient Referral - Pro- National Number of Procurment and N 1*171480000 1 curement of and Subna- ambulances bidding process 171,480,000 171,480,000 - - - - 171,480,000 1 Speed Boat for Ygn Int tioanl procured can take long Seaport period No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- budget budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges (y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (12) Patient Referral - Fuel cost National Number of Procurment and N 60*5*12*3500 + 1 1 1 1 1 for ambulanne and Speed Boat and Subna- ambulances bidding process 21,000,000 200*12*3500 21,000,000 21,000,000 21,000,000 21,000,000 21,000,000 105,000,000 (a) for 5 ambulances - Fuel 60 tioanl procured can take long Gal per month for 1 ambulance period , 1 year for all 5 designated Ground Crossings (b) 1 Speed Boat for Ygn Int Seaport- Fuel 200 Gal per month for 1 speed boat for 1 year (13) Mobilzation of existing National Number and Adminstrative N 2 * 7* 31000 + 2 * 20 20 20 20 wokforces from other up- and Subna- frequency arrangement to 1,730,000 95000 + 1 * 132000 - 34,600,000 34,600,000 34,600,000 34,600,000 138,400,000 coming 10 PoE or from Rapid tioanl of visit by mobilize staff * 7 + 7 * 1 * 26000 Response Team, state/region mobilized from other units = 1730000 (for 2 in Public Health Eemergency staff for PHE times per year) situiation. Meeting with events stakeholders from PoE and states/regions, and workfore development unit (2 staff, 7 days, for 5 Ground Crossing PoE, 2 times per year) 134 3 To strengthen capacity MOHS FETP, IHR Training (1) Trainings on Infection National Number of Some of existing N ( 9000* (50 - 25 ) 1 Training : Per diem = 9000 Participants 1 1 1 1 1 building processes es- Control and Emergency and Subna- trainings staffs in all PoE do 11,650,000 *2 + 25 * 4 * 30000 = 50 Days = 2, Participants away = 25 11,650,000 11,650,000 11,650,000 11,650,000 11,650,000 58,250,000 pecially for quarantine Medical Service (EMS) to all tioanl done and not have proper + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel services in all designat- Quarantine staffs from all PoE staff trained training for Quar- 250000 ( True) +50 costs participants away = 95000, Tea ed PoEs(Eg: emergency - At least 1 time training per antine services * 2 * ( 15000True break = 10000, Lunch = 15000, Extrea medical services and year followed by regular drill, and also for IHR. + 10000True) + pp = 50000, Stationary = 2500, Venue = Infection control) simulation exercise and TTX 50 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs in each CME in all PoEs. Also +0+0 = 0, Disseminating costs = 0 need to provide prior training for the newly assign staffs before they work in respective PoEs. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (50 participants, 25 Away, 2 days, 1 times per year) (2) Conduct Joint Table top National Number of Involvement of N ( 9000* (50 - 25 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 2 exercise and simulation and Subna- TTX conduct- stakeholders 11,650,000 *2 + 25 * 4 * 30000 = 50 Days = 2, Participants away = 25 23,300,000 23,300,000 23,300,000 23,300,000 23,300,000 116,500,000 exercise with all stakeholders tioanl ed (2 per + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel from PoE for response to public every year) 250000 ( True) +50 costs participants away = 95000, Tea health emergency * 2 * ( 15000True break = 10000, Lunch = 15000, Extrea (50 participants, 25 Away, 2 + 10000True) + pp = 50000, Stationary = 2500, Venue = days, 12times per year) 50 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs +0+0 = 0, Disseminating costs = 0 (3) Provide Internaitonal Study National Number of Availability of N 10 10 10 10 10 tours for international experi- staff who funding for study 4,309,800 43,098,000 43,098,000 43,098,000 43,098,000 43,098,000 215,490,000 ence (India, Thailand) participate in tour (7 days, per Study Tour, 10 study tour Staff, per year) JEE Indicator PoE.2 Effective Public Health Response at Points of Entry JEE Scores 2 JEE recommendations * Develop and implement an encompassing National Public Health Emergency Contingency Plan for the designated points of entry and link it with the national public health emergency plans. * Human resource capacity building and plan including for the animal health staff and staff at the ground crossings. * Conduct a formal evaluation for the PoEs core capacities and response to likely public health emergencies. * Establish/improve measures for vector control, safe environment and animal quarantine at the designated PoEs Objective * To strengthen function at PoE management and treatment for public health risks and events 1 Advocacy and aware- MOHS and All Monthly CME, (1) Advocacy meeting on Subna- Number of Involvement of Y ADB ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 ness raising with Stakeholders Annual Evaluation improvement of measures for tional advocacy stakeholders 9,175,000 *1 + 25 * 3 * 30000 = 50 Days = 1, Participants away = 25 9,175,000 9,175,000 9,175,000 9,175,000 9,175,000 45,875,000 other IHR implementing meeting, Stake- vector control, safe enviroment meeting + 25 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel partners from other holders meeting and food safety at each PoE conducted) 250000 ( True) +50 costs participants away = 95000, Tea Ministries to improve with all stakeholders * 1 * ( 15000True break = 10000, Lunch = 15000, Extrea measures for vector (50 participant, 25 Away, + 10000True) + pp = 50000, Stationary = 2500, Venue = control, safe enviro- 1 day) 50 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs ment and food safety +0+0 = 0, Disseminating costs = 0 (2) Conduct monthly joint Subna- Monthly vec- Some limitation N No cost related activity in some PoEsas in- 12 12 12 12 12 vector control program tional tor control in seaports and - ternal coordination among other relevant - - - - - - in respective PoE especillay program in ground crossing department, MoHS in international airports and all PoEs. because of seaport through collaboration surrounding envi- with Vector Born Diseases roment. And also Control (VBDC) Unit and need to develop stakeholders inter- and intra- departmental collabortion for vector control and 135 safe enviroment. (3) Conduct Health educa- National Number of Participation of N ( 9000* (50 - 2 ) 1 Training : Per diem = 9000 Participants 4 4 4 4 4 tion Workshop for all food and Subna- HE activites food handlers in 2,427,000 *1 + 2 * 3 * 30000 = 50 Days = 1, Participants away = 2 9,708,000 9,708,000 9,708,000 9,708,000 9,708,000 48,540,000 handlers for food safety and tional done, HE and inspection + 2 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel Random inspection of food inspections 250000 ( True) +50 costs participants away = 95000, Tea stalls especially in Airports and conducted * 1 * ( 15000True break = 10000, Lunch = 15000, Station- Seaports + 10000True) + ary = 2500, Venue = 250000, Printing (50 participants, 3 Away, 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 1 day, 2 times per year, in +0+0 each PoES) (4) Provide and distribute National Number of Interest from pub- N 1 1 1 1 1 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) pamphlets and poster for and Subna- IECs distrib- lic about IECs and 250,000 250,000 250,000 250,000 250,000 250,000 1,250,000 vector control and hand tional uted with involvement washing at all PoEs of HLPU in devel- (200 pamphlets and 100 opment process posters each year) 2 To strengthen coordi- MOHS/WHO/ Commitment (1) Cross border Meeting 6 National Number of Need to strength- Y WHO/ADB ( 9000* (30 - 10 ) 1 Meeting : Per diem = 9000 Participants nation mechanism OIE/MBDS/ for cross border monthly and subna- Meetings en political 4,805,000 *1 + 10 * 3 * 30000 = 30 Days = 1, Participants away = 10 1 1 1 1 1 - for Public Health Stakeholders coordination Coordination and evaluation tional done, commitment for + 10 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel Emergency response mechanism with meeting to strenghthen Coor- MOU or PoE issue. 250000 ( True) +30 costs participants away = 95000, Tea with neighbouring Thailand and dination Mechnism (no cost) official com- Commitments * 1 * ( 15000True break = 10000, Lunch = 15000, Extrea countries especially at China (30 participant, 10 Away, 1 mitment for among Countries + 10000True) + pp = 50000, Stationary = 2500, Venue = cross border PoE day, 2 times per year) cross-border 30 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs This activity will be inco- collaboration +0+0 = 0, Disseminating costs = 0 perated with activity line mechanism D.2.1.2.3 under Real Time with all Surveillance) neighboring countries. No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Existing " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for is the indicators Potential chal- budget budget cost implementation Level (Strategic ity(s) framework / costing)" action to (Monotor- lenges (y/n) source (Local cur- actions) for Imple- Programe or on be imple- ing and (govern- rency) " 2 2 2 2 2 metation going activities mented Evalua- ment, 0 0 0 0 0 including (National tion)" donor?) 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- 8 9 0 1 2 holder" tional) (2) Conduct workshop on Subna- Number of Involvement of N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 Table Top Exercise and Sim- tional TTX con- stakeholders 7,270,000 *2 + 15 * 4 * 30000 = 30 Days = 2, Participants away = 15 7,270,000 7,270,000 7,270,000 7,270,000 7,270,000 36,350,000 ulation Exercise for Joint or ducted commitment for + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Parellel Outbreak Investi- PoE issue. 250000 ( True) +30 costs participants away = 95000, Tea gation between two countries Commitments * 2 * ( 15000True break = 10000, Lunch = 15000, Extrea that sharing cross border among Countries + 10000True) + pp = 50000, Stationary = 2500, Venue = (30 participants 15 Away, 2 30 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs days, 1 times per year) +0+0 = 0, Disseminating costs = 0 (3) Meeting on Strengthen National Timeliness Involvement N ( 9000* (30 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 1 Cross border information and subna- and com- from cross border 4,805,000 *1 + 10 * 3 * 30000 = 30 Days = 1, Participants away = 10 - sharing network by MBDS and tional pleteness of health staff + 10 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel GMS mechanism to do Focal reporting 250000 ( True) +30 costs participants away = 95000, Tea person assigned, reporting * 1 * ( 15000True break = 10000, Lunch = 15000, Extrea form update and cost for + 10000True) + pp = 50000, Stationary = 2500, Venue = information sharing 30 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs (30 participants 10 Away, 2 +0+0 = 0, Disseminating costs = 0 days, 1 times per year) This activity will be incoperated with activity line D.2.1.2.3 & 2 under Real Time Surveillance and 136 POE.2.2.1) (4) Hire International National MOU from Interest for cross N 1 * 7 * (238920 Number = 1 ; No of Days : 7 , Per diem 2 consultants to develop MOU MOHS devel- border MOU form 7,876,440 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 15,752,880 - - - 15,752,880 with border sharing countries oped MOHS 1584000 = 7876440 = 1584000 (Thailand, China, India) (2 international Consultants, 7 days) Reviewing activities are included in National Legis- lation activity P.1.1.2.1 (5) Hire National consul- National MOU from Interest for cross N 1 * 7 * (80000 + Number = 1 ; No of Days : 7 , Per diem = 2 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) tants to develop MOU with MOHS devel- border MOU form 14,560,000 2000000) + 1 * 0 = 80000 ; Daily rate = 2000000 : Travel = 0 - 29,120,000 - - - 29,120,000 border sharing countries oped MOHS 14560000 (Thailand, China, India) (2 National Consultants, 7 days) (6) Meeting on Singing National MOU signed Interest for cross N ( 9000* (30 - 10 ) 1 Meeting : Per diem = 9000 Participants 3 ceremony for MOU with from MOHS border MOU form 4,805,000 *1 + 10 * 3 * 30000 = 30 Days = 1, Participants away = 10 - 14,415,000 - - - 14,415,000 Neighboring coutrie MOHS + 10 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel (30 participants,10 Away, 250000 ( True) +30 costs participants away = 95000, Tea 1 day) * 1 * ( 15000True break = 10000, Lunch = 15000, Extrea + 10000True) + pp = 50000, Stationary = 2500, Venue = 30 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs +0+0 = 0, Disseminating costs = 0 3 To develop evaluation MOHS/WHO JEE assessment (1) Hire International consul- National Annual Some challenges Y ADB 1 * 14 * (238920 Number = 1 ; No of Days : 14 , Per diem 2 tools to conduct formal tool, Annual IHR tant for 2 weeks to develop Evaluation still present for 14,168,880 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 28,337,760 - - - 28,337,760 evaluation and to pub- core capacity evaluation tools effective op- mechanism formal evaluation 1 * 1584000 = = 1584000 lish the effectiveness assessment tool eration of PoE for response at all PoE mechanism for all 14168880 in responding to Public (2 nternational Consultants, drafted ground crossings Health Events annually 14 days) before strength- ening organistion set up. (2) Meeting to endorse National Evalaution Involvement of Y ADB ( 9000* (50 - 25 ) 1 Meeting : Per diem = 9000 Participants 1 draft evaluation tools for tools devel- stakeholders 11,650,000 *2 + 25 * 4 * 30000 = 50 Days = 2, Participants away = 25 - 11,650,000 - - - 11,650,000 finalization oped + 25 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel (50 participant, 25 Away, 2 250000 ( True) +50 costs participants away = 95000, Tea days, 1 times) * 2 * ( 15000True break = 10000, Lunch = 15000, Extrea + 10000True) + pp = 50000, Stationary = 2500, Venue = 50 * 2500True ) * 1 250000, Print Dis = 200000, Printing costs +0+0 = 0, Disseminating costs = 0 (3) M & E visit by assigning National 1 After Committemt Y ADB 2 * 2* 31000 + 2 * 9 9 9 9 the team for supervision and action and involvement 630,000 95000 + 1 * 132000 - 5,670,000 5,670,000 5,670,000 5,670,000 22,680,000 evluation after dissemination review of stakeholders * 2 + 2 * 1 * 26000 of evluation tools report in AAR = 630000 (2 staffs from M&E Unit, 2 published in days, at 9 designated PoE after every year action review) 137 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 Other IHR-related hazards and Points of Entry (PoE) General Objective: To establish and maintain the core capacities at designated points of entry for routine and timely detection and prompt effective response of any potential hazards. GOAL Total TECHNICAL AREA Chemical Events Estimated cost JEE Indicator CE.1 Mechanisms are established and functioning for detecting and responding to chemical events or emergencies (USD) JEE Scores 1 22,585,312.48 JEE recommendations * Finalize and approve the national CBRN contingency plan, which defines authorities, roles, and responsibilities across the whole of government for Total chemical event surveillance, alert, and response Estimated cost * Develop SOPs for chemical event detection, assessment, and response operations Total cost per year of implementation (Local currency) * Develop an integrated national chemical surveillance system, which incorporates lab analysis and centralized reporting of chemical events to the (Kyats) national PHEOC Objective To enable early detection of early warning Chemical events or emergencies through Multi-sectoral Involvements 84,093,040 14,802,068,688 9,028,201,912 5,642,291,912 5,676,431,912 35,233,087,464 No Summary of Planned "Responsible Related existing "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National authority(s) plan/ frame- (input description for is the indicators Potential chal- budget ing cost implementation Level (Strategic for Implemeta- work / Programe costing)" action to (Monotor- lenges (y/n) budget (Local cur- actions) tion including or on going be imple- ing and source rency) " 2 2 2 2 2 budget line activities mented Evalua- (gov- 0 0 0 0 0 holder" (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 or sub-na- ment, 8 9 0 1 2 tional) donor?) 138 1 Develop SOP (guide- Laborato- OHEH, DMR, DS- (1) Mid level meeting to National SOP drafted Need interna- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 lines or manuals) on ries-MoHS MRC Laboratories develop guidelines or Inventory tional consultant 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 4,382,500 - - - - 4,382,500 the surveillance and (OHEH, DMR, are detecting manuals for detection of Mapping and/or national + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel asssessment of chem- FDA, NHL, CEU environmental important and relevent done, advisor (2 person 250000 ( True) +25 costs participants away = 95000, Tea ical events, intoxication (Budget line)), chemical events chemical events for Primary for laboratory * 2 * ( 15000True break = 10000, Lunch = 15000, Station- and poisoning and to be MoD (DSMRC), at hoc and project - collaboration, standardizing responsible guideline , 1 + 10000True) + ary = 2500, Venue = 250000, Print Dis = in place MoHA (CEO Lab, basis (not regu- of laboratory methods, agency for person for inven- 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating CID Lab), MoN- larly). sharing of equipment, supply laboratory tory mapping +0+0 costs = 0 REC Lab, Ministry FDA is detecting of reagents, consumables coordination software) of Industry, Min- chemicals in and sampling materials and poined out, istry of Education food and water logistics standard- Labs somewhat regular - proposing authority/ ization and NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) basis. institute/ agency with primary authoriza- OHEH, DMR, responsibility for laboratory tion of result DSMRC, CEO, CID standardization and coor- done labs are detecting dination). chemical events in (25 persons, 10 Away, 2 days, human. 1 times) Laboratory: OHEH, DMR, DS- (2) Hiring of international N 1 * 3 * (238920 Number = 1 ; No of Days : 3 , Per diem 2 MoHS (OHEH, MRC Laboratories consultant and national 4,280,760 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel 8,561,520 - - - - 8,561,520 DMR, FDA, NHL, are detecting advisor 1584000 = 4280760 = 1584000 CEU (Budget environmental (laboratory guideline 2 line)), MoD chemical events persons, inventory mapping (DSMRC), MoHA at hoc and project software 1 person) (CEO Lab, CID basis (not regu- (2 international Consultant, Lab), MoNREC larly). 3 days) Lab, Ministry of FDA is detecting Industry, Minis- chemicals in try of Education food and water Labs somewhat regular basis. OHEH, DMR, DSMRC, CEO, CID labs are detecting chemical events in human. Laboratory: OHEH, DMR, DS- (3) Hiring of international N 1 * 7 * (80000 + Number = 1 ; No of Days : 7 , Per diem = 1 MoHS (OHEH, MRC Laboratories consultant and national 1,960,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 1,960,000 - - - - 1,960,000 DMR, FDA, NHL, are detecting advisor 1960000 CEU (Budget environmental (laboratory guideline 2 line)), MoD chemical events persons, inventory mapping (DSMRC), MoHA at hoc and project software 1 person) (CEO Lab, CID basis (not regu- (1 Naitonal Consultant, 7 days) Lab), MoNREC larly). Lab, Ministry of FDA is detecting Industry, Minis- chemicals in try of Education food and water Labs somewhat regular 139 basis. OHEH, DMR, DSMRC, CEO, CID labs are detecting chemical events in human. Laborato- OHEH, DMR, DS- (4) Mid level meeting to final- National SOP finalized Multisectoral N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 2 ries-MoHS MRC Laboratories ize guidelines or manuals Inventory participation and 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 8,765,000 - - - 8,765,000 (OHEH, DMR, are detecting for detection of important Mapping commitments + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel FDA, NHL, CEU environmental and relevent chemical events done, 250000 ( True) +25 costs participants away = 95000, Tea (Budget line)), chemical events (25 persons, 10 Away, 2 days, Primary * 2 * ( 15000True break = 10000, Lunch = 15000, Station- MoD (DSMRC), at hoc and project 2 times) responsible + 10000True) + ary = 2500, Venue = 250000, Print Dis = NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MoHA (CEO Lab, basis (not regu- agency for 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating CID Lab), MoN- larly). laboratory +0+0 costs = 0 REC Lab, Ministry FDA is detecting coordination of Industry, Min- chemicals in poined out, istry of Education food and water standard- Labs somewhat regular ization and basis. authoriza- OHEH, DMR, tion of result DSMRC, CEO, CID done labs are detecting chemical events in human. No Summary of Planned "Responsible Related existing "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National authority(s) plan/ frame- (input description for is the indicators Potential chal- budget ing cost implementation Level (Strategic for Implemeta- work / Programe costing)" action to (Monotor- lenges (y/n) budget (Local cur- actions) tion including or on going be imple- ing and source rency) " 2 2 2 2 2 budget line activities mented Evalua- (gov- 0 0 0 0 0 holder" (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 or sub-na- ment, 8 9 0 1 2 tional) donor?) Laborato- OHEH, DMR, DS- (5) Dessimination work- National Number of Multisectoral N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 ries-MoHS MRC Laboratories shop/meeting on finalize Meetings participation and 8,085,000 *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away - 8,085,000 - - - 8,085,000 (OHEH, DMR, are detecting guidelines or manuals for done commitments + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 FDA, NHL, CEU environmental detection of important and Awareness 250000 ( True) +70 Travel costs participants away = 95000, (Budget line)), chemical events relevent chemical events on finalized * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- MoD (DSMRC), at hoc and project (70 participants per meeting, SOP, + 10000True) + tionary = 2500, Venue = 250000, Printing MoHA (CEO Lab, basis (not regu- 30 away, for 2 days) Inventory 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 CID Lab), MoN- larly). Mapping +0+0 REC Lab, Ministry FDA is detecting done, of Industry, Min- chemicals in Primary istry of Education food and water responsible Labs somewhat regular agency for basis. laboratory OHEH, DMR, coordination DSMRC, CEO, CID poined out, labs are detecting standard- chemical events in ization and human. authoriza- tion of result done 2 Develop SOP (guidelines Laboratory: OHEH, DMR, DS- (1) Meeting on setting up National Number of Human resource, N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 140 or manuals) on the MoHS (OHEH, MRC Laboratories a dedicated laboratory Meetings Financial resource, 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 4,382,500 - - - - 4,382,500 surveillance and asssess- DMR, FDA, NHL, are detecting at responsible and related done for Approval + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel ment of chemical events, CEU (Budget environmental departments for detection setting up 250000 ( True) +25 costs participants away = 95000, Tea intoxication and poison- line)), MoD chemical events of chemical events or emer- dedicated * 2 * ( 15000True break = 10000, Lunch = 15000, Station- ing and to be in place)- (DSMRC), MoHA at hoc and project gencies. Lab + 10000True) + ary = 2500, Venue = 250000, Print Dis = Setting Up Dedicated (CEO Lab, CID basis (not regu- (25 persons, 10 Away, 2 days, 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating Laboratories Lab), MoNREC larly). 1 times) +0+0 costs = 0 Lab, Ministry of FDA is detecting Industry, Minis- chemicals in try of Education food and water Labs somewhat regular basis. OHEH, DMR, NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) DSMRC, CEO, CID labs are detecting chemical events in human. Laboratory: OHEH, DMR, DS- (2) Finalizaton Meeting on National Finalized Human resource, N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 2 MoHS (OHEH, MRC Laboratories Setting up a dedicated laboratory Financial resource, 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 8,765,000 - - - 8,765,000 DMR, FDA, NHL, are detecting laboratory for detection organization Approval + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel CEU (Budget environmental of chemical events or emer- set up 250000 ( True) +25 costs participants away = 95000, Tea line)), MoD chemical events gencies. Number of * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (DSMRC), MoHA at hoc and project (25 persons, 10 Away, 2 days, Meetings + 10000True) + ary = 2500, Venue = 250000, Print Dis = (CEO Lab, CID basis (not regu- 2 times) done for 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating Lab), MoNREC larly). setting up +0+0 costs = 0 Lab, Ministry of FDA is detecting dedicated Industry, Minis- chemicals in Lab try of Education food and water Labs somewhat regular basis. OHEH, DMR, DSMRC, CEO, CID labs are detecting chemical events in human. 3 Develop SOP (guide- Surveillance Data reporting is (1) Mid level meeting to National SOP for Need interna- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 lines or manuals) on system: MoHS being done but develop Guidelines or surveillance tional consultant 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 4,382,500 - - - - 4,382,500 the surveillance and (National PHEOC, not on regular Manuals or Mechanism for system and and/ or national + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel asssessment of chemical OHEH, CEU (Bud- basis. reporting and data sharing real time en- advisor (Data in- 250000 ( True) +25 costs participants away = 95000, Tea events, intoxication and get line), MoD, system; and, vironmental formation system * 2 * ( 15000True break = 10000, Lunch = 15000, Station- poisoning and to be in MoHA, MoNREC, proposing authority/ institute/ monitoring 2 persons) + 10000True) + ary = 2500, Venue = 250000, Print Dis = place)- Mechanism for Development agency with primary respon- system 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating reporting and data Committees, sibility for chemicals and (sample +0+0 costs = 0 sharing System Ministry of surveillance/ monitoring. collection, Transport, Min- (25 persons x 2 days x 1 times) sample istry of Industry, transport, Ministry of real time 141 Information monitoring, data sharing, data storage, data anal- ysis, data reporting) drafted Laboratory: OHEH, DMR, DS- (2) Hiring of international National N 1 * 3 * (238920 Number = 1 ; No of Days : 3 , Per diem 2 MoHS (OHEH, MRC Laboratories consultants for the devel- 4,280,760 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel 8,561,520 - - - - 8,561,520 DMR, FDA, NHL, are detecting opment 1584000 = 4280760 = 1584000 CEU (Budget environmental (2 persons for Data informa- line)), MoD chemical events tion system) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (DSMRC), MoHA at hoc and project (2 international Consultant, (CEO Lab, CID basis (not regu- 3 days,) Lab), MoNREC larly). Lab, Ministry of FDA is detecting Industry, Minis- chemicals in try of Education food and water Labs somewhat regular basis. OHEH, DMR, DSMRC, CEO, CID labs are detecting chemical events in human. No Summary of Planned "Responsible Related existing "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National authority(s) plan/ frame- (input description for is the indicators Potential chal- budget ing cost implementation Level (Strategic for Implemeta- work / Programe costing)" action to (Monotor- lenges (y/n) budget (Local cur- actions) tion including or on going be imple- ing and source rency) " 2 2 2 2 2 budget line activities mented Evalua- (gov- 0 0 0 0 0 holder" (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 or sub-na- ment, 8 9 0 1 2 tional) donor?) Chemical Team (3) Visit to related agencies Sub-na- Get related Travel allowances N 3 * 7 * 31000 + 3 * 15 Leading persons for desk review and assess- tional information. 2,042,000 95000 + 1 * 132000 30,630,000 - - - - 30,630,000 ment of current situation. Obtain * 7 + 7 * 1 * 26000 (3 person, 7 days per visit for coordination. = 2042000 15 agencies, 1 times) Increased number and motivation of partic- ipants in subsequent meetings. Surveillance Data reporting is (4) Mid level workshop to National Finalized Need interna- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 2 system: MoHS being done but finalize Guidelines or SOP for tional consultant 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 8,765,000 - - - 8,765,000 (National PHEOC, not on regular Manuals or Mechanism for surveillance and/ or national + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel OHEH, CEU (Bud- basis. reporting and data sharing system. advisor (Data in- 250000 ( True) +25 costs participants away = 95000, Tea get line), MoD, system; and, Meeting of formation system * 2 * ( 15000True break = 10000, Lunch = 15000, Station- MoHA, MoNREC, - proposing authority/ insti- higher level 2 persons) + 10000True) + ary = 2500, Venue = 250000, Print Dis = Development tute/ agency with primary re- authorities 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating Committees, sponsibility for chemicals and done. +0+0 costs = 0 Ministry of Trans- surveillance/ monitoring. port, Ministry of - Planning for meeting of 142 Industry higher level authorities who can make policy. (25 persons, 10 Away, 2 days, 2 times) Chemical Team (5) Conducted Visit to related Sub-na- Get related Travel allowances N 3 * 7 * 31000 + 3 * 30 Leading persons agencies for field testing of tional information. 2,042,000 95000 + 1 * 132000 - 61,260,000 - - - 61,260,000 Guideline/Manual/SoPs Obtain * 7 + 7 * 1 * 26000 coordination. = 3799000 (3 person, 7 days per visit for Increased 15 agencies, 2 times) number and motivation of partic- NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) ipants in subsequent meetings. MoHS, MoD, (6) Awareness and Des- National SOP is ap- Repeated com- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 MoHA, MoNREC, simination Meeting (Higer proved. MOU munication and 5,692,500 *3 + 10 * 5 * 30000 = 25 Days = 3, Participants away = 10 - 5,692,500 - - - 5,692,500 Ministry of level persons) on finalized is signed. revision. + 10 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel Industry, Guidelines or Manuals or 250000 ( True) +25 costs participants away = 95000, Tea Development Mechanism for reporting and * 3 * ( 15000True break = 10000, Lunch = 15000, Station- Committees, data sharing system; and, + 10000True) + ary = 2500, Venue = 250000, Print Dis = Ministry of Trans- - proposing authority/ insti- 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating port, Ministry of tute/ agency with primary +0+0 costs = 0 Education responsibility for chemicals and surveillance/ monitoring with higher level authorities who can make decision. (25 persons, 10 Away, 3 days, 1 times) 4 Develop SOP (guidelines MoHS, MoD, Upgrading of (1) Procurement of water, soil National Respective Human resource, N 1 1 1 1 or manuals) on the MoHA, MoNREC, existing Labo- and air quality testing equip- Laboratories Financial resource 4,612,422,600 - 4,612,422,600 4,612,422,600 4,612,422,600 4,612,422,600 18,449,690,400 surveillance and asssess- Ministry of ratoratory and ment, FTIR, LCMS, HPLC, AAS, become (budget), Ap- ment of chemical events, Industry, capacities UV and accessories operational proval intoxication and poison- Development to detect ing) and to be in place Committees, targeted - Establishment of Ministry of Trans- chemical laboratory with nec- port, Ministry of essary equipments, Education teskits, reagents and supplies, (2) Procurement of GC, National Human resource, N 1 GCMSMS, IPC OES and ICP MS Financial resource 4,452,492,426 - 4,452,492,426 - - - 4,452,492,426 (budget), Ap- proval (3) Procurement of reagents National Human resource, N 1 and supplies for water and Financial resource 22,724,880 - 22,724,880 - - - 22,724,880 soil testing (budget), Ap- proval (4) Construction of Infrastruc- National Human resource, N 1 ture for focal laboratory. Financial resource 78,000,000 - 78,000,000 - - - 78,000,000 (budget), Ap- proval Respective De- Emergencey (5) Procurement of water and Sub-na- Respective Human resource, N 1 1 1 1 partments, CEU Preparedness and soil quality testing equip- tional Laboratories Financial resource 504,119,600 - 504,119,600 504,119,600 504,119,600 504,119,600 2,016,478,400 (Budget line) Respose ment and accessories for focal become (budget), Ap- laboratory operational proval 143 to detect targeted chemical (6) Procurement of water National Human resource, N 1 and soil quality testing Financial resource 45,449,760 - 45,449,760 - - - 45,449,760 reagents and supplies for focal (budget), Ap- laboratory proval (7) Procurement of air quality National Human resource, N 1 testing equipment and HPLCs Financial resource 2,208,091,700 - 2,208,091,700 - - - 2,208,091,700 for focal laboratory (budget), Ap- proval NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (8) Procurement of GCs and National Human resource, N 1 ICPs for focal laboratory Financial resource 2,213,166,350 - 2,213,166,350 - - - 2,213,166,350 (budget), Ap- proval (9) Procurement of reagents National Human resource, N 1 1 1 1 and supplies for focal Financial resource 101,061,212 - 101,061,212 101,061,212 101,061,212 101,061,212 404,244,848 laboratory (budget), Ap- proval No Summary of Planned "Responsible Related existing "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National authority(s) plan/ frame- (input description for is the indicators Potential chal- budget ing cost implementation Level (Strategic for Implemeta- work / Programe costing)" action to (Monotor- lenges (y/n) budget (Local cur- actions) tion including or on going be imple- ing and source rency) " 2 2 2 2 2 budget line activities mented Evalua- (gov- 0 0 0 0 0 holder" (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 or sub-na- ment, 8 9 0 1 2 tional) donor?) 5 Develop SOP (guide- (1) HR (10 persons) for focal National Human resource, N 2 Medecin : 500000 : 2 Medecin : 500000 : 48 Months 1 1 1 1 lines or manuals) on laboratory Financial resource 50,400,000 12 Months - 50,400,000 50,400,000 50,400,000 50,400,000 201,600,000 the surveillance and (2 Medecin : 500000 : 48 (budget), Ap- 8 Infermier : 400000 : 48 Months asssessment of chemical Months, 8 Infermier : 400000 : proval 8 Infermier : 400000 : events, intoxication and 48 Months) 12 Months poisoning) and to be in place - capacity building and Hurman Resources (2) International consultant for National Human resource, N 2 * 30 * (238920 Number = 2 ; No of Days : 30 , Per diem 1 focal laboratories Financial resource 57,103,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 57,103,200 - - - 57,103,200 (2 presons, 30 days) (budget), Ap- 2 * 1584000 = = 1584000 proval 57103200 (3) Local consultant for focal National Human resource, N 2 * 240 * (3000 + Number = 2 ; No of Days : 240 , Per diem 1 1 1 1 laboratory Financial resource 2,886,000 3000) + 2 * 3000 = = 3000 ; Daily rate = 3000 : Travel - 2,886,000 2,886,000 2,886,000 2,886,000 11,544,000 (2 persons, 240 days) (budget), Ap- 2886000 = 3000 proval CEU Yearly Budgeting (4) Advocacy Meeting National Budget ap- Approval N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 1 1 for regualar on budget planning for proved from 8,085,000 *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away 8,085,000 8,085,000 8,085,000 - - 24,255,000 144 activities reagents, consumables, Parliament + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 sampling materials, logistics Number of 250000 ( True) +70 Travel costs participants away = 95000, (transport, communication), Meetings * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- maintenance; and data done + 10000True) + tionary = 2500, Venue = 250000, Printing reporting and sharing system 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 in order to be in place for all +0+0 actions by using the action plans and resources (70 participant, 30 Away, 1 day, 1 time) Respective (5) Specialized Laboratory National Number of Need internation- N ( 9000* (35 - 10 ) *30 1 training : Per diem = 9000 Participants 2 2 2 Departments Training for relevant staffs staff trained al consultant/ 51,137,500 + 10 * 32 * 30000 + = 35 Days = 30, Participants away = - - 102,275,000 102,275,000 102,275,000 306,825,000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) and Focal De- (35 persons, 10 Ayaw,30 days to perform trainer (Labora- 10 * 95000 + 30 * 10 Days away = 32 Diem away = 30000 partment x 2 times) test runs for tory expert x 4 250000 ( True) +35 Travel costs participants away = 95000, 2 times persons) * 30 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- + 10000True) + tionary = 2500, Venue = 250000, Printing 35 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 Respective (6) Surveillance Training for National Number of Need internation- N ( 9000* (25 - 10 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 Departments relevant staffs staff trained al consultant/ 8,162,500 *5 + 10 * 7 * 30000 = 25 Days = 5, Participants away = 10 - 16,325,000 16,325,000 16,325,000 16,325,000 65,300,000 and Focal De- (25 persons, 10 Ayaw, 5 days to perform trainer (Surveil- + 10 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel partment x 2 times) data man- lance 2, Data 250000 ( True) +25 costs participants away = 95000, Tea agement management 1) * 5 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 6 Develop SOP (guide- MoHA (Myanmar Got some training (1) Mid level meeting and National SOP drafted, Need internation- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 3 3 lines or manuals) on Police Force, and exercises workshop to develop guide- Inventory al consultant/ 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 13,147,500 13,147,500 - - - 26,295,000 the management of Myanmar Fire for response. lines or manuals or SoP for Mapping, trainer (CBRN + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel chemical events, intox- Department Task Some facilities management of important Point out response 2 250000 ( True) +25 costs participants away = 95000, Tea ication and poisoning Force, General at Myanmar Fire and relevent chemical primary persons, inventory * 2 * ( 15000True break = 10000, Lunch = 15000, Station- and to be in place: Administration Department Task events for CBRN response responsible mapping software + 10000True) + ary = 2500, Venue = 250000, Print Dis = CBRNE Response Department), Force and MoD for and including training agency 1 person) 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating MoHS, MoD, response. Ambu- modules; +0+0 costs = 0 MoNREC, lance facilities are - including mapping, collabo- MoSWRR, Private present but not ration, standardizing of man- Health Care well coordinated. agement methods, sharing of Centres and facilities, equipment, supply, NGOs (including and logistics and, Myanmar Red - proposing authority/ insti- Cross Associ- tute/ agency with primary ation) which responsibility for chemical have ambulance response in different situation. facilities. (25 persons, 10 Away, 2 days, 6 times) (2) Mid level meeting to fi- National SOP is Need internation- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 nalize guidelines or manuals finalized. al consultant/ 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 4,382,500 - - - 4,382,500 or SoP for management of Meeting of trainer (CBRN + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel important and relevent higher level response 2 250000 ( True) +25 costs participants away = 95000, Tea chemical events for CBRN authorities is persons, inventory * 2 * ( 15000True break = 10000, Lunch = 15000, Station- response; done. mapping software + 10000True) + ary = 2500, Venue = 250000, Print Dis = - including mapping, collabo- 1 person) 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating ration, standardizing of man- +0+0 costs = 0 agement methods, sharing of facilities, equipment, supply, and logistics and, 145 - proposing authority/ insti- tute/ agency with primary responsibility for chemical response in different situation. (25 persons, 10 Away, 2 days, 1 times) (3) Awareness and Des- National SOP is ap- Repeated com- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 simination Meeting (Higer proved. MOU munication and 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 4,382,500 - - - 4,382,500 level Authorities) who can is signed. revision. + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel make decision on finalized 250000 ( True) +25 costs participants away = 95000, Tea guidelines or manuals or SoP * 2 * ( 15000True break = 10000, Lunch = 15000, Station- for management of important + 10000True) + ary = 2500, Venue = 250000, Print Dis = NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) and relevent chemical events; 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating - including mapping, collabo- +0+0 costs = 0 ration, standardizing of man- agement methods, sharing of facilities, equipment, supply, and logistics and, - proposing authority/ insti- tute/ agency with primary responsibility for chemical response in different situation. (25 persons, 10 Away, 2 days, 1 times) No Summary of Planned "Responsible Related existing "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National authority(s) plan/ frame- (input description for is the indicators Potential chal- budget ing cost implementation Level (Strategic for Implemeta- work / Programe costing)" action to (Monotor- lenges (y/n) budget (Local cur- actions) tion including or on going be imple- ing and source rency) " 2 2 2 2 2 budget line activities mented Evalua- (gov- 0 0 0 0 0 holder" (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 or sub-na- ment, 8 9 0 1 2 tional) donor?) (4) Procurement of necessary N 1 equipment and accessories 3,361,500,000 - - 3,361,500,000 - - 3,361,500,000 for detection and response of CBRN Respective (5) Procurement of necessary Sub-na- Respective To make procure- N 1 1 1 Departments consumables for detection and tional department ment in time and 81,000,000 - - 81,000,000 81,000,000 81,000,000 243,000,000 response of CBRN become human resources operational to respond targeted chemical Focal Depart- (6) Advocacy Meeting on bud- National Budget ap- N ( 9000* (70 - 30 ) 1 Workshop : Per diem = 9000 Partici- 1 1 1 1 1 ment for chem- get planning for for detection proved from *1 + 30 * 3 * 30000 pants = 70 Days = 1, Participants away - - - - - - ical emergency and Emergency response Parliament + 30 * 95000 + 1 * = 30 Days away = 3 Diem away = 30000 response of CBRN 250000 ( True) +70 Travel costs participants away = 95000, (70 participant, 30 Away, 1 * 1 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- day, 1 times) + 10000True) + tionary = 2500, Venue = 250000, Printing This actvity will be incorper- 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 ated with otherh advocacy +0+0 146 meetin Budget planning above CE.1.5.4) Respective Already done (7) Conduct CBRN Response National Number Need internation- N ( 9000* (25 - 10 ) 1 Training : Per diem = 9000 Participants 2 2 Departments some local and Training for relevant staff trainings al consultant/ 8,162,500 *5 + 10 * 7 * 30000 = 25 Days = 5, Participants away = 10 - 16,325,000 16,325,000 - - 32,650,000 and Focal De- foreign training. (25 persons, 10 Away, 5 days, and staff trainer (CBRN 2) + 10 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel partment But not well 2 times) trained, 250000 ( True) +25 costs participants away = 95000, Tea integrated among CBRN re- * 5 * ( 15000True break = 10000, Lunch = 15000, Station- agencies. sponse team + 10000True) + ary = 2500, Venue = 250000, Printing formed and 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 coordinated. +0+0 Respective (8) Conduct CBRN Response National CBRN re- Need internation- N ( 9000* (25 - 10 ) 1 Training : Per diem = 9000 Participants 2 2 2 2 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Departments Simulation Exercise and sponse team al consultant/ 8,162,500 *5 + 10 * 7 * 30000 = 25 Days = 5, Participants away = 10 - 16,325,000 16,325,000 16,325,000 16,325,000 65,300,000 and Focal De- Drills regularly well-coor- trainer (CBRN 2) + 10 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel partment (25 persons, 10 Away, 5 days, dinated and 250000 ( True) +25 costs participants away = 95000, Tea 2 times) prepared. * 5 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 7 Develop SOP (guide- OHEH, National Already done (1) Mid level meeting to set Sub-na- International con- N 5542500 ( 9000* (25 - 10 ) 1 Training : Per diem = 9000 Participants 3 lines or manuals) on Poison Control some treatment, up organization, draw tional sultant in poison *3 + 10 * 5 * 30000 = 25 Days = 3, Participants away = 10 - 16,627,500 - - - 16,627,500 the management of Centre (NPC) referral, reporting Poison Diagnosis and management (2 + 10 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel chemical events, intox- at DMR, Poison Treatment Guideline, and persons) 250000 ( True) +25 costs participants away = 95000, Tea ication and poisoning Treatment Centre reporting system Poin- * 3 * ( 15000True break = 10000, Lunch = 15000, Station- and to be in place: Poi- (PTC) at NYGH, soning in Human including + 10000True) + ary = 2500, Venue = 250000, Printing soning in human States and Rego- training modules 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 ins Hospitals (25 persons, 10 Away, 3 days, +0+0 3 times) OHEH, National Already done (2) Hiring of international National N 1 * 7 * (238920 Number = 1 ; No of Days : 7 , Per diem 2 Poison Control some treatment, consultant for set up organi- 7,876,440 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 15,752,880 - - - 15,752,880 Centre (NPC) referral, reporting zation, draw Poison Diagnosis 1584000 = 7876440 = 1584000 at DMR, Poison and Treatment Guideline, and Treatment Centre reporting system Poinsoning (PTC) at NYGH, in Human States and Rego- (2 international Consultant, ins Hospitals 7 days) (3) Mid level meeting to Sub-na- International con- N 5542500 ( 9000* (25 - 10 ) 1 Training : Per diem = 9000 Participants 2 Finalize setting up or- tional sultant in poison *3 + 10 * 5 * 30000 = 25 Days = 3, Participants away = 10 - 11,085,000 - - - 11,085,000 ganization, draw Poison management (2 + 10 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel Diagnosis and Treatment persons) 250000 ( True) +25 costs participants away = 95000, Tea Guideline, and reporting * 3 * ( 15000True break = 10000, Lunch = 15000, Station- system Poinsoning in Human + 10000True) + ary = 2500, Venue = 250000, Printing (25 persons, 10 Away, 3 days, 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 2 times) +0+0 (4) Awareness and Dessimi- National SOP is ap- Repeated com- N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 nation Meeting (Higer level proved. MOU munication and 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 4,382,500 - - - 4,382,500 Authorities) who can make is signed. revision. + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel decision on finalized Finalize 250000 ( True) +25 costs participants away = 95000, Tea setting up organization, draw * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Poison Diagnosis and Treat- + 10000True) + ary = 2500, Venue = 250000, Print Dis = ment Guideline, and reporting 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating system Poinsoning in Human +0+0 costs = 0 (25 persons, 10 Away, 2 days, 1 times) (5) International Training Pro- Sub-na- Timely approval N 2 2 2 2 gram on poison management tional and processing 13,500,000 - 27,000,000 27,000,000 27,000,000 27,000,000 108,000,000 147 for relevant staff (2 persons, 20 days, 2 times per year) (6) Local trainings for poison Sub-na- International con- N ( 9000* (25 - 10 ) 1 Training : Per diem = 9000 Participants 3 3 3 3 management tional sultant in poison 8,162,500 *5 + 10 * 7 * 30000 = 25 Days = 5, Participants away = 10 - 24,487,500 24,487,500 24,487,500 24,487,500 97,950,000 (25 persons, 10 Away, 5 days, 3 management (2 + 10 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel times per year) persons) 250000 ( True) +25 costs participants away = 95000, Tea * 5 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (7) Conduct Supervisory Visit Tight schedules N 4 * 5 * 31000 + 4 * 16 16 16 16 (4 persons, 5 days, 16 times) 1,790,000 95000 + 1 * 132000 - 28,640,000 28,640,000 28,640,000 28,640,000 114,560,000 * 5 + 5 * 1 * 26000 = 1790000 (8) Annual Coordination and N ( 9000* (60 - 20 ) 1 Meeting : Per diem = 9000 Participants 3 Evaluation Meeting the whole 11,380,000 *3 + 20 * 5 * 30000 = 60 Days = 3, Participants away = 20 - - - - 34,140,000 34,140,000 action plan (JEE Meeting) + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel 250000 ( True) +60 costs participants away = 95000, Tea * 3 * ( 15000True break = 10000, Lunch = 15000, Station- + 10000True) + ary = 2500, Venue = 250000, Printing 60 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 JEE Indicator CE.2 Enabling environment is in place for management of chemical events JEE Scores 1 JEE recommendations * Finalize and approve the national CBRN contingency plan, which defines authorities, roles, and responsibilities across the whole of government for chemical event surveillance, alert, and response * Develop SOPs for chemical event detection, assessment, and response operations * Develop an integrated national chemical surveillance system, which incorporates lab analysis and centralized reporting of chemical events to the national PHEOC Objective * To strengthen Multi-sectoral Intergrated National Response to Chemical events or emergencies No Summary of Planned "Responsible Related existing "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National authority(s) plan/ frame- (input description for is the indicators Potential chal- budget ing cost implementation Level (Strategic for Implemeta- work / Programe costing)" action to (Monotor- lenges (y/n) budget (Local cur- actions) tion including or on going be imple- ing and source rency) " 2 2 2 2 2 budget line activities mented Evalua- (gov- 0 0 0 0 0 holder" (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 or sub-na- ment, 8 9 0 1 2 tional) donor?) 1 National policies or Ministry of CBRN Country (1) Meeting on getting National Number of International N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 3 plans or legislation Industry, City Planning Refined policies for import, Meeting Technical experts 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 13,147,500 - - - 13,147,500 for chemical event Development registration and inventory done. and experiences + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel surveillance alert Committees, of major hazard sites and Refined 250000 ( True) +25 costs participants away = 95000, Tea MoHS (OHEH, facilities. Risk assessment to policy for * 2 * ( 15000True break = 10000, Lunch = 15000, Station- States and obtain list of hazardous chemi- import, reg- + 10000True) + ary = 2500, Venue = 250000, Print Dis = Regions Health cals of national importance. istration and 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating Departments), (25 persons, 10 Away, 2 days, inventory +0+0 costs = 0 MoNREC, MoALI, 3 times) of major MoHA (General hazard sites Administration and facilities Department, done 148 Myanmar Police Risk assess- Force), MoD, ment to Attorny General obtain list of Office hazardous chemicals of national importance done (2) Hiring of International N 1 * 4 * (238920 Number = 1 ; No of Days : 4 , Per diem 6 Consultant expert 5,179,680 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 31,078,080 - - - 31,078,080 (2 international Consultant, 1 1584000 = 5179680 = 1584000 Chemical, 1 Inventory data, 4 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) days each times, 3 times) Ministry of (3) Meeting to get Mecha- SOP for Multi-sectoral N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 3 Industry, City nism/SOP for coverage, coverage, participations and 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 13,147,500 - - - 13,147,500 Development criteria of when and how criteria of iterest + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Committees, to alert, duty rosters. Shar- when and 250000 ( True) +25 costs participants away = 95000, Tea MoHS (OHEH, ing information to respective how to alert, * 2 * ( 15000True break = 10000, Lunch = 15000, Station- States and departments and targetted duty rosters. + 10000True) + ary = 2500, Venue = 250000, Print Dis = Regions Health populations for surveillance Sharing 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating Departments), and alert information +0+0 costs = 0 MoNREC, MoLFI, (25 persons, 10 Away, 2 days, to respective MoHA (General 3 times) departments Administration and target- Department, ted popu- Myanmar Police lations for Force), MoD, surveillance Attorny General and alert Office 2 National policies or plans Ministry of CBRN Country (1) Meeting to get Mecha- SOP for N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 3 or legislation for chem- Industry, City Planning nism/SOPs for chemical chemical 4,382,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 13,147,500 - - - 13,147,500 ical event response; Development event response: Poison event + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Emergency response Committees, treatment, CBRNE Response, response: 250000 ( True) +25 costs participants away = 95000, Tea plan that defines the MoHS (OHEH, Risk assessment and preven- Poison treat- * 2 * ( 15000True break = 10000, Lunch = 15000, Station- roles and responsi- States and tion of recurrent event ment, CBRNE + 10000True) + ary = 2500, Venue = 250000, Print Dis = bilities of relevent Regions Health (25 persons, 10 Away, 2 days, Response, 25 * 2500True ) * 1 50000, Printing costs = 0, Disseminating agencies. Departments), 3 times) Risk assess- +0+0 costs = 0 MoNREC, MoLFI, ment and MoHA (General prevention Administration of recurrent Department, event Myanmar Police Force), MoD; Poi- son treatment, CBRNE Response team 3 National policies and Ministry of (1) Conduct Pre-Event Public Type and N 1 1 1 1 plans or legislation Industry, City Education for wareness in- Number of 40,000,000 - 40,000,000 40,000,000 40,000,000 40,000,000 160,000,000 for chemical event Development creased (4 times) Pamphlet, surveillance alert and Committees, Poster, TV response: To be in place; MoHS (OHEH, and radio ad- Emergency response States and vertisement plan that defines the Regions Health developed roles and responsi- Departments), and pro- bilities of relevent MoNREC, MoLFI, duced agencies in place MoHA (General including inventory Administration of major hazard sites Department, and facilities. Myanmar Police 149 Force), MoD; Poi- son treatment, CBRNE Response team Ministry of (2) Conduct Simulation N ( 9000* (50 - 30 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 Industry, City Exercise and drills on 17,675,000 *5 + 30 * 7 * 30000 = 50 Days = 5, Participants away = 30 - 35,350,000 35,350,000 35,350,000 35,350,000 141,400,000 Development Mechanisms during chemical + 30 * 95000 + 5 * Days away = 7 Diem away = 30000 Travel Committees, event response: Poison treat- 250000 ( True) +50 costs participants away = 95000, Tea MoHS (OHEH, ment, CBRNE Response, Risk * 5 * ( 15000True break = 10000, Lunch = 15000, Station- States and assessment and prevention + 10000True) + ary = 2500, Venue = 250000, Printing Regions Health of recurrent event including 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 Departments), coverage, criteria of when +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) MoNREC, MoLFI, and how to alert, duty MoHA (General rosters. Sharing information Administration to respective departments Department, and targetted populations for Myanmar Police surveillance and alert Force), MoD; Poi- (50 persons, 30 Away, 5 days, son treatment, 2 times per year) CBRNE Response team MATRIX FOR THE DEVELOPMENT OF NATIONAL ACTION PLAN FOR HEALTH SECURITY 2018 - 2022 Other IHR-related hazards and Points of Entry (PoE) General Objective: To develop and sustain optimum capacity to prevent, detect and manage chemical events and radiation emergencies. GOAL Total TECHNICAL AREA Radiation Emergencies Estimated cost JEE Indicator RE.1 Mechanisms are established and functioning for detecting and responding to radiological and nuclear emergencies (USD) JEE Scores 1 2,238,841.78 JEE recommendations * Finalize and approve the national CBRN contingency plan, which defines authorities, roles, and responsibilities across the whole of government for radiological event surveillance, alert, and response (to include designating a radiological / nuclear focal point for coordination and communication Total Estimated cost with the IHR NFP) Total cost per year of implementation (Local * Develop SOPs for radiation detection, assessment, and response operations currency) * Develop an integrated national radiological surveillance system, which incorporates lab analysis and centralized reporting of radiological events to (Kyats) the national PHEOC Objective To increase systema and capacity for management of radiological and nuclear emergencies - 501,475,520 265,799,220 1,362,659,220 1,362,659,220 3,492,593,180 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the indicators Potential chal- budget ing cost implementation Level (Strategic ity(s) framework / action to (Monotor- lenges (y/n) budget (Local cur- actions) for Imple- Programe or on be imple- ing and source rency) " 2 2 2 2 2 metation going activities mented Evalua- (gov- 0 0 0 0 0 including (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- ment, 8 9 0 1 2 150 holder" tional) donor?) 1 Development of Na- (DAE- CBRN National (1) Ad-hoc/advocacy meeting National Number of Time, interest, N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 tional Radiological/ MOE,MOHS, Action Plan (wait- with National Emergency re- Meetings awareness and 4,232,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 4,232,500 - - - 4,232,500 Nuclear Emergency MOD, MOHA,- ing minister's sponse team for development of conducted commitments by + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Response Plan for de- Customs-MOF permission) and National Radiological/ Nuclear Development Stakeholders and 250000 ( True) +25 costs participants away = 95000, Tea tection, assessment and , MOSRR, Red then submit to Emergency Response Plan of National Decision Makers * 2 * ( 15000True break = 10000, Lunch = 15000, Station- response to radiation Cross associ- paliament (25 persons, 10 Away, 2days, Radiological/ + 10000True) + ary = 2500, Venue = 250000, Printing emergencies ation, NGOs) 1 times) Nuclear 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 and needs Emergen- +0+0 funded from cyResponse International Plan awared Organization NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (2) Hiring of International National National N 1 * 10 * (238920 Number = 1 ; No of Days : 10 , Per diem 2 Consultant for development of Radiological/ 10,573,200 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 21,146,400 - - - 21,146,400 National Radiological/ Nuclear Nuclear 1 * 1584000 = = 1584000 Emergency Response Plan Emergency 10573200 (2 International Consultant for 10 Response days - 2 weeks) Plan drafted (3) Meeting/Workhop on Develop- National Number of Time, interest, N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 ment and finalizatoin of National Meetings awareness and 7,155,000 *3 + 15 * 5 * 30000 = 30 Days = 3, Participants away = 15 - 7,155,000 - - - 7,155,000 Radiological/Nuclear Emergency conducted commitments by + 15 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel Response Plan with Emergency Stakeholders and 250000 ( True) +30 costs participants away = 95000, Tea working group members from rel- Decision Makers * 3 * ( 15000True break = 10000, Lunch = 15000, Station- evant ministries and stakeholders + 10000True) + ary = 2500, Venue = 250000, Printing (30 persons, 15 Away, 3days, 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 1 times) +0+0 (4) Dessimination/advocacy/ National Number of Time, interest, N ( 9000* (70 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 Awareness workshop on Meeting awareness and 12,425,000 *3 + 20 * 5 * 30000 = 70 Days = 3, Participants away = 20 - 12,425,000 - - - 12,425,000 National Radiological/ Nuclear conducted commitments by + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel Emergency Response Plan with Stakeholders and 250000 ( True) +70 costs participants away = 95000, Tea Emergency working group mem- Decision Makers * 3 * ( 15000True break = 10000, Lunch = 15000, Station- bers from relevant ministries and + 10000True) + ary = 2500, Venue = 250000, Printing stakeholders 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (70 persons, 20 Away, 3 days, +0+0 1 times) (5) Awareness workshop on Na- Subnation- Number of Time, interest, N ( 9000* (50 - 20 ) 1 Meeting : Per diem = 9000 Participants 2 2 2 2 tional Radiological/ Nuclear Emer- al level Workshops awareness and 5,595,000 *1 + 20 * 3 * 30000 = 50 Days = 1, Participants away = 20 - 11,190,000 11,190,000 11,190,000 11,190,000 44,760,000 gency Response Plan at township conducted commitments by + 20 * 95000 + 1 * Days away = 3 Diem away = 30000 Travel levels to concerned ministries Stakeholders and 250000 ( True) +50 costs participants away = 95000, Tea and stakeholders 1 times each at Decision Makers * 1 * ( 15000True break = 10000, Lunch = 15000, Station- Upper Myanmar and Lower + 10000True) + ary = 2500, Venue = 250000, Printing Myanmar with Local experts 50 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (50 persons, 25 Away, 1 days, 1 +0+0 times of each, 2 times per year) (6) Hiring of Local Consultant N 1 * 3 * (80000 + Number = 1 ; No of Days : 3 , Per diem = 2 for (1) day Awareness workshop 840,000 200000) + 1 * 0 = 80000 ; Daily rate = 200000 : Travel = 0 - 1,680,000 - - - 1,680,000 on National Radiological/ Nuclear 840000 Emergency Response Plan at township levels (1 Natiotnal Consultant, 3 days, 2 times in th first year of Trainings/ Workshop) 151 2 To develop SOPs for (DAE- CBRN National (1) Meeting/Workhop on Develop- Naitional SoP for man- N ( 9000* (30 - 15 ) 1 Workshop : Per diem = 9000 Partici- 2 the Management of MOE,MOHS, Action Plan (wait- ing, drafting and editing of SoPS level agement of 5,570,000 *2 + 15 * 4 * 30000 pants = 30 Days = 2, Participants away - 11,140,000 - - - 11,140,000 Radiation Emergen- MOD, MOHA,- ing minister's for the management of Radi- Radiation + 15 * 95000 + 2 * = 15 Days away = 4 Diem away = 30000 cies (including risk Customs-MOF permission) and ation Emergencies (including Emergencies 250000 ( True) +30 Travel costs participants away = 95000, assessment, reporting, , MOSRR, Red then submit to Riske Assessment, reporting, event drafted * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- event confirmation and Cross associ- paliament confirmation, notificaiton and in- + 10000True) + tionary = 2500, Venue = 250000, Printing notification and inves- ation, NGOs) vestigation) with Emergency work- 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 tigation) and needs ing group members from relevant +0+0 funded from ministries and stakeholders International (30 participants, 15 Away, 2 days, Organization 2 times) NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) (2) Hiring of Internaitonal Con- Nationla SoP for man- Technical experts N 1 * 20 * (238920 Number = 1 ; No of Days : 20 , Per diem 1 sultant for Development of SoPs Level agement of 19,562,400 + 660000) + = 238920 ; Daily rate = 660000 : Travel - 19,562,400 - - - 19,562,400 for the management of Radiation Radiation 1 * 1584000 = = 1584000 Emergencies Emergencies 19562400 (1 Internaltion Cosultant, 20 days drafted - 1 Month) (3) Workhop on finalization of SoPs N ( 9000* (30 - 15 ) 1 Workshop : Per diem = 9000 Partici- 1 for the management of Radiation 5,570,000 *2 + 15 * 4 * 30000 pants = 30 Days = 2, Participants away - 5,570,000 - - - 5,570,000 Emergencies + 15 * 95000 + 2 * = 15 Days away = 4 Diem away = 30000 (30 persons, 15 Away, 2days, 250000 ( True) +30 Travel costs participants away = 95000, 1times) * 2 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- + 10000True) + tionary = 2500, Venue = 250000, Printing 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the indicators Potential chal- budget ing cost implementation Level (Strategic ity(s) framework / action to (Monotor- lenges (y/n) budget (Local cur- actions) for Imple- Programe or on be imple- ing and source rency) " 2 2 2 2 2 metation going activities mented Evalua- (gov- 0 0 0 0 0 including (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- ment, 8 9 0 1 2 holder" tional) donor?) (4) Dessimination/advocacy/ National Number of Time, interest, N ( 9000* (70 - 20 ) 1 Meeting : Per diem = 9000 Participants 1 Awareness/Training workshop Meeting awareness and 12,425,000 *3 + 20 * 5 * 30000 = 70 Days = 3, Participants away = 20 - 12,425,000 - - - 12,425,000 on SoPS for the management of conducted commitments by + 20 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel Radiation Emergencies including Stakeholders and 250000 ( True) +70 costs participants away = 95000, Tea exerciess with Emergency working Decision Makers * 3 * ( 15000True break = 10000, Lunch = 15000, Station- group members from relevant + 10000True) + ary = 2500, Venue = 250000, Printing ministries and stakeholders 70 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (70 persons, 20 Away, 3 days, +0+0 1 times) (4) Training with exercises on National/ Number of Interest and prac- N ( 9000* (30 - 15 ) 1 Training : Per diem = 9000 Participants 2 1 1 1 SoPS for the management of Ra- Sub-Na- Trainings tice utilization 7,155,000 *3 + 15 * 5 * 30000 = 30 Days = 3, Participants away = 15 - 14,310,000 7,155,000 7,155,000 7,155,000 35,775,000 diation Emergencies for reporting, tional level conducted by Staff. + 15 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel event confirmation, notification/ Number of 250000 ( True) +30 costs participants away = 95000, Tea investigation to relevant ministries Staff trained * 3 * ( 15000True break = 10000, Lunch = 15000, Station- and other stakeholders + 10000True) + ary = 2500, Venue = 250000, Printing (30 persons, 3days, 2 times in first 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 year and 1 times in consecurtive +0+0 year) 152 (6) Drilling Exercises on SoPsfor Township Number of Interest and prac- N ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 5 5 5 5 the management of Radiation level Trainings tice utilization 5,570,000 *2 + 15 * 4 * 30000 = 30 Days = 2, Participants away = 15 - 27,850,000 27,850,000 27,850,000 27,850,000 111,400,000 Emergencies for reporting, event conducted by Staff. + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel confirmation, notification/ Number of 250000 ( True) +30 costs participants away = 95000, Tea investigation Staff trained * 2 * ( 15000True break = 10000, Lunch = 15000, Station- (30 persons, 15 Away, 2 days, 5 + 10000True) + ary = 2500, Venue = 250000, Printing times per year) 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 +0+0 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) JEE Indicator RE.2 Enabling environment is in place for management of radiaiton emergencies JEE Scores 1 JEE recommendations * Finalize and approve the national CBRN contingency plan, which defines authorities, roles, and responsibilities across the whole of government for radiological event surveillance, alert, and response (to include designating a radiological / nuclear focal point for coordination and communi- cation with the IHR NFP) * Develop SOPs for radiation detection, assessment, and response operations * Develop an integrated national radiological surveillance system, which incorporates lab analysis and centralized reporting of radiological events to the national PHEOC Objective * To empower stakeholder and implementers having strong supports and commitments for management of Radiation and nuclear emergencies/event 1 1.To develop National (DAE- (1) Coordination Meetings with National 1. National N ( 9000* (25 - 10 ) 1 Meeting : Per diem = 9000 Participants 2 Authority for oversee- MOE,MOHS, relevant ministries and stake Authority 4,282,500 *2 + 10 * 4 * 30000 = 25 Days = 2, Participants away = 10 - 8,565,000 - - - 8,565,000 ing Radiological/ Nucle- MOD, Cus- holders to Organize the National formed + 10 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel ar Emergency Response toms-MOF, Emergency Response (Authority) 2. IHR 250000 ( True) +25 costs participants away = 95000, Tea Plan (DAE, MOHS, MOD, MOLFD, Red Team, Radiation Emergency National * 2 * ( 15000True break = 10000, Lunch = 15000, Station- Custom dept, MLFRD,Red Cross associ- Woking Group, Designated Focal Point + 10000True) + ary = 2500, Venue = 250000, Printing cross association, NGOs ation, NGOs) National Focal Point (Unit) and designated 25 * 2500True ) * 1 costs = 0, Disseminating costs = 0 ) 2. To designate and needs their Objective, TOR 3. Number +0+0 IHR National Focal funded from (25persons, 10 Away, 2 days, of Meeting point for the Emergency International 2 times) conducted Response Team Organization 2. IHR NFP should be the Director General of Division of Atomic Energy. 2 Routine Surveillance/ DAE- MOE Monitoring and (1) Implementation of Environ- DAE- MOE 1. Radio-ac- time, equipment, Y G 5,665,000 (2019), 1 4 30 30 153 Monitoring Activities surveillance on ra- mental monitoring Station (Yagon) (Naypyitaw, tivities test kits, reagend, 6,000,000 24,000,000 (2020), - 6,000,000 24,000,000 180,000,000 180,000,000 390,000,000 for radiation diation is onging Laboratory Yangon) monitoring public awareness 180,000,000 (2020), action to prevent - Food, Air , water, diary products(- Recorded 180,000,000 (2020) emergencies for export ), rice, sea water, etc, at systemically the Dept of Atomic Energy and report to 1. Semi- Auto balance 2. Calibra- minister tion Weight blocks 3. Automatic Voltage Stabiliser 4. S2 Puma (20 position) 5. DPS Coarse Sampling System 6. Black Carbon Metre (2) Conduct Surveillance on rada- DAE- MOE 1. Radio-ac- time, equipment, Y G 38,835,000 (2019), 1 1 1 1 tion for radiation users from MoHS, (Naypyitaw, tivities test kits, reagend, 39,340,500 44,327,000 (2020), - 39,340,500 39,340,500 39,340,500 39,340,500 157,362,000 NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Industry, Ariculture, etc Yangon) monitoring public awareness 37,100,000 (2020), 1.Panasonic Holder, Cover for Recorded 37,100,000 (2020) XA Dosimeter 2. XA Dosimeter systemically 3. Dry Cabinet 4. Computer & and report to Accessories 5. UPS 650VA (Metal) minister 6. Printer, Canon LBP2900B (3) Regular Inspection of Radiation DAE- MOE 1. Radio-ac- time, equipment, Y G 4,662,900 (2019), 1.5 1 1 1 Facilities (Naypyitaw, tivities test kits, reagend, 3,000,000 2,629,600 (2020), 0 0 - 4,500,000 3,000,000 300,000,000 300,000,000 607,500,000 1. Inspection Car Yangon) monitoring public awareness 300,000,000 (2020), 0 0 2. Radioactive source Long tong Recorded 300,000,000 (2020) 3. shielded transport containers systemically 4. Digital Survey meter 5. Electron- and report to ic Personnel Dosimeter minister No Summary of Planned "Responsi- Related "Detailed activities Where "Output Comments or Existing Exist- " Estimated Year of Total Cost Year in Local Currency Activities at National ble author- existing plan/ (input description for costing)" is the indicators Potential chal- budget ing cost implementation Level (Strategic ity(s) framework / action to (Monotor- lenges (y/n) budget (Local cur- actions) for Imple- Programe or on be imple- ing and source rency) " 2 2 2 2 2 metation going activities mented Evalua- (gov- 0 0 0 0 0 including (National tion)" ern- 2018 2019 2020 2021 2022 TOTAL 1 1 2 2 2 budget line or sub-na- ment, 8 9 0 1 2 holder" tional) donor?) DAE-MoE (4) Regularly provision of Where is Number of Time and interest Y ( 9000* (40 - 30 ) *10 1 Meeting : Per diem = 9000 Participants 1 1 1 1 Awareness program and Capacilty the action awarness and cooperation 27,250,000 + 30 * 12 * 30000 + = 40 Days = 10, Participants away = - 27,250,000 27,250,000 27,250,000 27,250,000 109,000,000 building training to radiation users to be im- program by users 30 * 95000 + 10 * 30 Days away = 12 Diem away = 30000 from MoHS, MoHA, MoD at Yangon plemented and capac- 250000 ( True) +40 Travel costs participants away = 95000, DAE office (National ity building * 10 * ( 15000True Tea break = 10000, Lunch = 15000, Sta- Procurement of 1. Teaching or sub-na- training + 10000True) + tionary = 2500, Venue = 250000, Printing Equipments tional) conducted 40 * 2500True ) * 1 costs = 0, Disseminating costs = 0 (40 participants, 30 Away, 10 days, +0+0 1 times per year) DAE-MoE Ongoing trainings (5) Establishing Workshop/train- National Number of Time and interest Y IAEA) ( 9000* (30 - 15 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 ing/Meeting on the capacity build- level trainings/ and cooperation Interna- 5,570,000 *2 + 15 * 4 * 30000 = 30 Days = 2, Participants away = 15 - 5,570,000 5,570,000 5,570,000 5,570,000 22,280,000 ing for Radiological Emergency workshops/ by users tional + 15 * 95000 + 2 * Days away = 4 Diem away = 30000 Travel Prepareness and response program meetings Atomic 250000 ( True) +30 costs participants away = 95000, Tea to CBRN team members by Inter- conducted Energcy * 2 * ( 15000True break = 10000, Lunch = 15000, Station- national Atomic Energcy Agency, Agency, + 10000True) + ary = 2500, Venue = 250000, Printing EU-CBRN-COE, with assitant from EU- 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 2 International Experts CBRN- +0+0 (30 participants, 10 Away, 2 days 1 COE, times per year) (6) Hiring of International Con- National National Time and interest Y IAEA) 1 * 4 * (238920 Number = 1 ; No of Days : 4 , Per diem 2 2 2 2 154 sultant for Workshop/training/ Radiological/ and cooperation Interna- 5,179,680 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 10,359,360 10,359,360 10,359,360 10,359,360 41,437,440 Meeting on the capacity building Nuclear by users tional 1584000 = 5179680 = 1584000 for Radiological Emergency Emergency Atomic Prepareness and response program Response Energcy to CBRN team members by Inter- Plan drafted Agency, national Atomic Energcy Agency, EU- EU-CBRN-COE CBRN- (2 International Consultant for 4 COE, days, 1 times per year for training) (7) Conduct Capacity bulding National N ( 9000* (30 - 10 ) 1 Meeting : Per diem = 9000 Participants 1 1 1 1 Training with Simulation exer- 6,125,000 *3 + 10 * 5 * 30000 = 30 Days = 3, Participants away = 10 - 6,125,000 6,125,000 6,125,000 6,125,000 24,500,000 cises on Radiological Emergency + 10 * 95000 + 3 * Days away = 5 Diem away = 30000 Travel NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) Preparedness and response for 250000 ( True) +30 costs participants away = 95000, Tea CBRN members with assistance by * 3 * ( 15000True break = 10000, Lunch = 15000, Station- 2 International Experts + 10000True) + ary = 2500, Venue = 250000, Printing (30 persons, Away 10, 3 days , 1 30 * 2500True ) * 1 costs = 0, Disseminating costs = 0 times per year) +0+0 (8) Hiring of International National National Time and interest Y IAEA) 1 * 4 * (238920 Number = 1 ; No of Days : 4 , Per diem 2 2 2 2 Consultant for Capacity bulding Radiological/ and cooperation Interna- 5,179,680 + 660000) + 1 * = 238920 ; Daily rate = 660000 : Travel - 10,359,360 10,359,360 10,359,360 10,359,360 41,437,440 Training with Simulation exercises Nuclear by users tional 1584000 = 5179680 = 1584000 on Radiological Emergency Pre- Emergency Atomic paredness and response for CBRN Response Energcy members Plan drafted Agency, (2 International Consultant for 4 EU- days, 1 times per year for training) CBRN- COE, 3 1. To establish the CBRN, National (1) Establishment of Mobile National Essential Approval, N 225,000,000 (2019), 2.6 1 8.3 8.3 Emergency Radiation Radiological/ Nu- system for Emergency monitoring Level, DAE- Equipments supports and 88,200,000 88,200,600 (2020), - 229,320,000 88,200,000 732,060,000 732,060,000 1,781,640,000 monitoring Labora- clear Emergency and surveillance MoE and Commitments by 736,0500,000 (2020), tory for survillence Response Plan, Procurement of equipments, IT, assessories Decision makers 736,0500,000 and risk assessment National Radiation test kits, reagents, supplies, and procured. and Stakeholder (2020), and Establishment of Emegencies Man- commodities Number of as it is under Biodosimetry service agement SoPs 1. Needed mobile system for Emergency planning (consid- Emergecy monitoring and surveil- Radiation eration) by DAE lance 1- Vehicle Monitoring Difficulties in 2- High Purity Germanium (HpGe) and surveil- procurement of detector lance 1. HpGe detector 3- Sodium Iodide (NaI) detector. 2. NaI (3 x3 inch) 4- Alpha/beta counting system 3. alpha-beta with a simple changer counting system 5- Liquid Scintillation Counting 4. Radionuclide System (LSC) for low-level beta identifier counting. 5. LSC Tricard 3180 6- Standards (Mixed gamma in Marinelli beaker, Radio-iodine in charcoal filter and filter paper, Am-241 (alpha emitter) on planchette,Cs-137 and Sr-90 (beta emitters) on planchette, LSC: H-3, C-14 and two radon in water standards 7- Portable detectors (Alpha Scintillation survey meters and probes, micro-R meters, Radio- nuclide identifiers with neutron detection capability, GM Survey 155 meters with stick probes and pancake probes, Survey meters with extendable probes to reach rail cars, Air samplers with tripods and external battery supply) 8. sample collection tools 9- Communications (Two flatscreen TVs, Satellite phone, Cellular phone service, Land lines and FAX machine, Direct TV Service) 10- Potassium Iodine (KI) tablets for emergency workers. NATIONAL ACTION PLAN FOR HEALTH SECURITY (NAPHS) 4 Public Awareness DAE-MOE Posters, Pam- (1) Development of Poster (3000), National Number of Technical Inputs N Poster 3000*5000, 1 1 1 1 Program phlets, Sticker pamphlet (10000), Guesters IEC materials for IEC develop- 5,400,000 Pamphlet 10000*50, - 5,400,000 5,400,000 5,400,000 5,400,000 21,600,000 currently using (3000) on Radiation Harzards and on Public ment Sticker 3000*50, in awareness for Protections awareness Signboard users for Radiation 3000*1000, distribu- Emergencies tion 5*50000 printed and distributed